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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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