| Foundation Family Care P.c. | |
|
1020 Crews Rd Ste M Matthews NC 28105-7587 | |
| (704) 575-9289 | |
| (877) 548-5345 |
| Full Name | Foundation Family Care P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1020 Crews Rd Ste M, Matthews, North Carolina |
| Authorized Official Name and Position | Stephanie Kemper (PRESIDENT) |
| Authorized Official Contact | 7045759289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Family Care P.c. 1020 Crews Rd Ste M Matthews NC 28105-7587 Ph: (704) 575-9289 | Foundation Family Care P.c. 1020 Crews Rd Ste M Matthews NC 28105-7587 Ph: (704) 575-9289 |
| NPI Number | 1932553690 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 04/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932553690 | NPI | - | NPPES |
| 6000815 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3167 (North Carolina) | Primary |
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