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Organization

CAROLINA NEUROBEHAVIORAL SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA ANNE SWOROWSKI PH.D. (OWNER/NEURPSYCHOLOGIST)
(704) 319-5538
Entity
Organization

Contact information

Practice address
7810 BALLANTYNE COMMONS PKWY, SUITE 309, CHARLOTTE, NC 28277-3415
(704) 319-5538
(888) 703-9409
Mailing address
7810 BALLANTYNE COMMONS PKWY, SUITE 300, CHARLOTTE, NC 28277-3415
(704) 319-5538
(888) 703-9409

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4230
NC
103TC0700X
Clinical Psychologist
4230
NC

Other

Enumeration date
07/18/2012
Last updated
01/02/2013
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