Individual
KAMILAH MCPHAIL MCKISSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 366-8712
Mailing address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 366-8712
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3501
NC
Other
Enumeration date
06/04/2008
Last updated
05/10/2017
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