Individual
SUSAN ELIZABETH FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
501 S SHARON AMITY RD STE 500, CHARLOTTE, NC 28211-2897
(704) 655-7544
Mailing address
6907 ROLLINGRIDGE DR, CHARLOTTE, NC 28211-5466
(724) 464-7745
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3818
NC
Other
Enumeration date
12/20/2006
Last updated
01/15/2015
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