| Carolina Behavioral Medicine, Pa | |
|
1036 Branchview Dr Suite 201 Concord NC 28025-2998 | |
| (704) 659-3541 | |
| (888) 977-3202 |
| Full Name | Carolina Behavioral Medicine, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1036 Branchview Dr, Concord, North Carolina |
| Authorized Official Name and Position | Richard Cauley Kennerly (OWNER) |
| Authorized Official Contact | 7046593541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Behavioral Medicine, Pa 366 George W Liles Pkwy Nw Ste 52 Concord NC 28027-2406 Ph: (704) 659-3541 | Carolina Behavioral Medicine, Pa 1036 Branchview Dr Suite 201 Concord NC 28025-2998 Ph: (704) 659-3541 |
| NPI Number | 1891193918 |
|---|---|
| Provider Enumeration Date | 12/06/2014 |
| Last Update Date | 04/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891193918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4561 (North Carolina) | Primary |
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