Individual
MARY MEREDITH GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1918 RANDOLPH RD, SUITE 400, CHARLOTTE, NC 28207-1100
(704) 384-9437
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9437
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4667
NC
Other
Enumeration date
09/02/2014
Last updated
10/28/2020
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