Deitchman Associates | |
417 S. Sharon Amity Rd Suite A Charlotte NC 28211 | |
(704) 364-0452 | |
(704) 364-5481 |
Full Name | Deitchman Associates |
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Speciality | Psychologist |
Location | 417 S. Sharon Amity Rd, Charlotte, North Carolina |
Authorized Official Name and Position | Eric L Deitchman (OWNER) |
Authorized Official Contact | 7043640452 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deitchman Associates 1824 Asheville Pl Charlotte NC 28203-6054 Ph: (704) 364-0452 | Deitchman Associates 417 S. Sharon Amity Rd Suite A Charlotte NC 28211 Ph: (704) 364-0452 |
NPI Number | 1427081793 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 12/01/2011 |
Medicare PECOS PAC ID | 9739351628 |
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Medicare Enrollment ID | O20111019000589 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427081793 | NPI | - | NPPES |
Provider Name | Eric L Deitchman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235155177 PECOS PAC ID: 0042299794 Enrollment ID: I20040715001302 |
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