Charee Boulter, PHD | |
6633 Fairview Rd, Charlotte, NC 28210-3321 | |
(215) 482-8000 | |
Not Available |
Full Name | Charee Boulter |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 27 Years |
Location | 6633 Fairview Rd, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700083383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | 3380 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Multicare Health System | 7719899897 | 1689 |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Charee Boulter, PHD 6633 Fairview Rd, Charlotte, NC 28210-3321 Ph: (215) 482-8000 | Charee Boulter, PHD 6633 Fairview Rd, Charlotte, NC 28210-3321 Ph: (215) 482-8000 |
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