Scn Psyhological And Consulting Services Llc | |
6729 Fairview Rd Ste D Charlotte NC 28210-0127 | |
(704) 442-9111 | |
(704) 442-0021 |
Full Name | Scn Psyhological And Consulting Services Llc |
---|---|
Speciality | Clinic/Center |
Location | 6729 Fairview Rd Ste D, Charlotte, North Carolina |
Authorized Official Name and Position | Stephen B. Bondy (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 7044429111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Scn Psyhological And Consulting Services Llc 6729 Fairview Rd Ste D Charlotte NC 28210-0127 Ph: (704) 442-9111 | Scn Psyhological And Consulting Services Llc 6729 Fairview Rd Ste D Charlotte NC 28210-0127 Ph: (704) 442-9111 |
NPI Number | 1114297041 |
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Provider Enumeration Date | 01/10/2012 |
Last Update Date | 01/10/2012 |
Medicare PECOS PAC ID | 9032386180 |
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Medicare Enrollment ID | O20120113000045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114297041 | NPI | - | NPPES |
0271 | Other | NC | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 0271 (North Carolina) | Primary |
Provider Name | Stephen Bert Bondy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720279623 PECOS PAC ID: 5395912448 Enrollment ID: I20120113000506 |
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