Organization
COMMUNITY PSYCHOLOGICAL RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY TONKINS MARSHALL LPA (PSYCHOLOGIST/OWNER)
(704) 763-0687
Entity
Organization
Contact information
Practice address
5749 RUTH DR, CHARLOTTE, NC 28215-2231
(704) 763-0687
Mailing address
5749 RUTH DR, CHARLOTTE, NC 28215-2231
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1663
NC
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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