| Barium Springs Home For Children-assessment & Clinical Services | |
|
720 E 4th St Suite 400 Charlotte NC 28202-2884 | |
| (704) 330-4338 | |
| (704) 924-7683 |
| Full Name | Barium Springs Home For Children-assessment & Clinical Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 720 E 4th St, Charlotte, North Carolina |
| Authorized Official Name and Position | John Koppelmeyer (PRESIDENT/CEO) |
| Authorized Official Contact | 7048731011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barium Springs Home For Children-assessment & Clinical Services Po Box 1 Barium Springs NC 28010-0001 Ph: (704) 873-1011 | Barium Springs Home For Children-assessment & Clinical Services 720 E 4th St Suite 400 Charlotte NC 28202-2884 Ph: (704) 330-4338 |
| NPI Number | 1134389844 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134389844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3272 (North Carolina) | Primary |
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