Individual
IVORY ELOISE O'ROURKE-KLEINKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4235 S STREAM BLVD STE 300, CHARLOTTE, NC 28217-0143
(828) 228-8970
Mailing address
4235 S STREAM BLVD STE 300, CHARLOTTE, NC 28217-0143
(828) 228-8970
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6083
NC
Other
Enumeration date
08/08/2014
Last updated
08/14/2026
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