Individual
DR. STACY DENISE BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5203 SHARON RD, CHARLOTTE, NC 28210-4721
(704) 554-9900
Mailing address
2336 SHENANDOAH AVE, CHARLOTTE, NC 28205-6026
(980) 422-4016
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4026
NC
Other
Enumeration date
08/29/2008
Last updated
03/15/2011
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