Individual
ROBERT CUSTRINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3541 RANDOLPH RD, SUITE 102, CHARLOTTE, NC 28211-1082
(704) 362-0960
(704) 366-6464
Mailing address
3541 RANDOLPH RD, SUITE 102, CHARLOTTE, NC 28211-1082
(704) 362-0960
(704) 366-6464
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0324B
BLUECROSS BLUESHIELD
NC
05
—
6000113
—
NC
Enumeration date
01/13/2007
Last updated
07/08/2007
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