| Psychiatric And Forensic Associates, P.a. | |
|
1515 Mockingbird Ln Charlotte NC 28209-3239 | |
| (704) 525-1753 | |
| (704) 561-0926 |
| Full Name | Psychiatric And Forensic Associates, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1515 Mockingbird Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Luther Morris Mcewen (PRESIDENT) |
| Authorized Official Contact | 7045251753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric And Forensic Associates, P.a. Po Box 12216 Charlotte NC 28220-2216 Ph: (704) 525-1753 | Psychiatric And Forensic Associates, P.a. 1515 Mockingbird Ln Charlotte NC 28209-3239 Ph: (704) 525-1753 |
| NPI Number | 1043495419 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 10/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043495419 | NPI | - | NPPES |
| 7902801 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 17399 (North Carolina) | Primary |
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