Organization
SCN PSYHOLOGICAL AND CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN B. BONDY PH.D (LICENSED PSYCHOLOGIST)
(704) 442-9111
Entity
Organization
Contact information
Practice address
6729 FAIRVIEW RD STE D, CHARLOTTE, NC 28210-0127
(704) 442-9111
(704) 442-0021
Mailing address
6729 FAIRVIEW RD STE D, CHARLOTTE, NC 28210-0127
(704) 442-9111
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0271
LICENSE
NC
Enumeration date
01/10/2012
Last updated
01/10/2012
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