| Queen City Psychotherapy Pllc | |
|
100 Matador Ln Apt 403 Charlotte NC 28209-3364 | |
| (908) 723-3951 | |
| Not Available |
| Full Name | Queen City Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 Matador Ln Apt 403, Charlotte, North Carolina |
| Authorized Official Name and Position | Deanna Goldner (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9087233951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen City Psychotherapy Pllc 100 Matador Ln Apt 403 Charlotte NC 28209-3364 Ph: (908) 723-3951 | Queen City Psychotherapy Pllc 100 Matador Ln Apt 403 Charlotte NC 28209-3364 Ph: (908) 723-3951 |
| NPI Number | 1710586698 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710586698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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