Individual
NANCY BLAIR WARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210
(704) 552-0116
(704) 552-7550
Mailing address
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210
(704) 552-0116
(704) 552-7550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1910
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000542
—
NC
Enumeration date
09/27/2006
Last updated
07/08/2007
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