| Child And Family Development Inc. | |
|
4012 Park Rd Suite 200 Charlotte NC 28209-2377 | |
| (704) 332-4834 | |
| (704) 372-9653 |
| Full Name | Child And Family Development Inc. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 4012 Park Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Pam Jones (PRESIDENT) |
| Authorized Official Contact | 7043324834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Development Inc. 4012 Park Road Suite 200 Charlotte NC 28209 Ph: (704) 332-4834 | Child And Family Development Inc. 4012 Park Rd Suite 200 Charlotte NC 28209-2377 Ph: (704) 332-4834 |
| NPI Number | 1871697888 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871697888 | NPI | - | NPPES |
| 7211539 | Medicaid | NC | |
| 720103C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (North Carolina) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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