| Fairview Psychological Services, P.a. | |
|
1515 Mockingbird Ln Suite 215 Charlotte NC 28209-3236 | |
| (704) 362-2618 | |
| Not Available |
| Full Name | Fairview Psychological Services, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1515 Mockingbird Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Patricia Powell Hundley (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 7043622618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Psychological Services, P.a. 691 Hanover Dr Nw Concord NC 28027-7826 Ph: (704) 362-2618 | Fairview Psychological Services, P.a. 1515 Mockingbird Ln Suite 215 Charlotte NC 28209-3236 Ph: (704) 362-2618 |
| NPI Number | 1912234915 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912234915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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