Individual
MICHAEL NIEWIADOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
(704) 362-2663
(704) 362-2836
Mailing address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
(704) 362-2663
(704) 362-2836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1003
NC
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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