| South Park Behavioral | |
|
6845 Fairview Rd Charlotte NC 28210-3500 | |
| (704) 442-9065 | |
| Not Available |
| Full Name | South Park Behavioral |
|---|---|
| Speciality | Psychologist |
| Location | 6845 Fairview Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Patricia Boyer (MD) |
| Authorized Official Contact | 7044429065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Park Behavioral 6845 Fairview Rd Charlotte NC 28210-3500 Ph: (704) 442-9065 | South Park Behavioral 6845 Fairview Rd Charlotte NC 28210-3500 Ph: (704) 442-9065 |
| NPI Number | 1043382229 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043382229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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