Organization
DOVETAIL HOLDINGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JON RUNGE PH.D. PSYCHOLOGIST (PRESIDENT)
(704) 425-4791
Entity
Organization
Contact information
Practice address
912 COPPERFIELD BLVD NE, COPPERFIELD COMMONS, CONCORD, NC 28025-2433
(704) 425-4791
(704) 795-7179
Mailing address
1210 OAKWOOD AVE, KANNAPOLIS, NC 28081-5364
(704) 425-4791
(704) 795-7179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2580
NC
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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