Careolina Psychology Pllc | |
7810 Ballantyne Commons Pkwy Suite 307 Charlotte NC 28277-3415 | |
(704) 582-9884 | |
Not Available |
Full Name | Careolina Psychology Pllc |
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Speciality | Psychologist |
Location | 7810 Ballantyne Commons Pkwy, Charlotte, North Carolina |
Authorized Official Name and Position | Dalia Biller-nicoletti (DIRECTOR/PSYCHOLOGIST) |
Authorized Official Contact | 7045829884 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Careolina Psychology Pllc 8201 Tonawanda Dr Charlotte NC 28277-1896 Ph: (704) 582-9884 | Careolina Psychology Pllc 7810 Ballantyne Commons Pkwy Suite 307 Charlotte NC 28277-3415 Ph: (704) 582-9884 |
NPI Number | 1518314434 |
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Provider Enumeration Date | 05/20/2016 |
Last Update Date | 05/20/2016 |
Medicare PECOS PAC ID | 9830489277 |
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Medicare Enrollment ID | O20160526000791 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518314434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 3912 (North Carolina) | Primary |
Provider Name | Dalia Elizabeth Biller Nicoletti |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588789440 PECOS PAC ID: 7719977552 Enrollment ID: I20160526000887 |
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