| Cir Psychology Practice | |
|
1100 Blythe Blvd Charlotte NC 28203-5814 | |
| (704) 355-4370 | |
| Not Available |
| Full Name | Cir Psychology Practice |
|---|---|
| Speciality | Psychologist |
| Location | 1100 Blythe Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | William Alex Hopkins (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7045126429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cir Psychology Practice 1100 Blythe Blvd Charlotte NC 28203-5814 Ph: (704) 355-4370 | Cir Psychology Practice 1100 Blythe Blvd Charlotte NC 28203-5814 Ph: (704) 355-4370 |
| NPI Number | 1821112665 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 12/03/2007 |
| Medicare PECOS PAC ID | 1557256351 |
|---|---|
| Medicare Enrollment ID | O20040419000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821112665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Kathryn B Crump |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689767717 PECOS PAC ID: 0840389581 Enrollment ID: I20071204000445 |
| Provider Name | Eric A Rinehardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417256462 PECOS PAC ID: 7012191323 Enrollment ID: I20130515000075 |
| Provider Name | Shelley Leigh Leininger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174957609 PECOS PAC ID: 4082841853 Enrollment ID: I20131226001648 |
| Provider Name | Marlena N Matusewicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588705248 PECOS PAC ID: 2567690225 Enrollment ID: I20140102001239 |
| Provider Name | John T Beetar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912920943 PECOS PAC ID: 5991086720 Enrollment ID: I20170110000364 |
| Provider Name | Ashley Jones Reno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295173615 PECOS PAC ID: 9537398581 Enrollment ID: I20170118000114 |
| Provider Name | Brian W Ablitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659506269 PECOS PAC ID: 6204988165 Enrollment ID: I20190219001865 |
| Provider Name | Ivorie Louise Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275024531 PECOS PAC ID: 3173933439 Enrollment ID: I20201028001118 |
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