Organization
SCN PSYHOLOGICAL AND CONSULTING SERVICES LLC
Active
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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