Individual
DR. WAYNE M KIRSCHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
3534 HIGHVIEW RD, CHARLOTTE, NC 28210-6404
(704) 553-1353
Mailing address
3534 HIGHVIEW RD, CHARLOTTE, NC 28210-6404
(704) 553-1353
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0640
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04018
BCBS NC
—
Enumeration date
09/02/2006
Last updated
08/09/2010
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