Individual
JILL PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, LPA
Contact information
Practice address
447 S SHARON AMITY RD STE 140, CHARLOTTE, NC 28211-2888
(704) 900-9143
(704) 364-6267
Mailing address
447 S SHARON AMITY RD STE 140, CHARLOTTE, NC 28211-2888
(704) 900-9143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5215
NC
Other
Enumeration date
02/02/2018
Last updated
11/25/2020
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