| Charlotte Psychological Assessment Ii Pa | |
|
3303 Latrobe Dr Charlotte NC 28211-4851 | |
| (704) 362-2663 | |
| (704) 362-2836 |
| Full Name | Charlotte Psychological Assessment Ii Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3303 Latrobe Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Nicole Lacoste Cantley (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 7048411163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Psychological Assessment Ii Pa 1811 Sardis Rd N Suite 207 Charlotte NC 28270-1426 Ph: (704) 841-1163 | Charlotte Psychological Assessment Ii Pa 3303 Latrobe Dr Charlotte NC 28211-4851 Ph: (704) 362-2663 |
| NPI Number | 1306157888 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 06/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306157888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3520 (North Carolina) | Primary |
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