Organization
BARIUM SPRINGS HOME FOR CHILDREN-ASSESSMENT & CLINICAL SERVICES
Active
Organization
BARIUM SPRINGS HOME FOR CHILDREN-ASSESSMENT & CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KOPPELMEYER (PRESIDENT/CEO)
(704) 873-1011
Entity
Organization
Contact information
Practice address
720 E 4TH ST, SUITE 400, CHARLOTTE, NC 28202-2884
(704) 330-4338
(704) 924-7683
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 873-1011
(704) 924-7683
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3272
NC
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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