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Individual

DR. JODIE CASTELLANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7655 BRUTON SMITH BLVD, CONCORD, NC 28027-0148
(704) 651-9569
(704) 787-9672
Mailing address
6012 BAYFIELD PKWY # 136, CONCORD, NC 28027-7597
(704) 651-9569
(704) 787-9672

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2283
TN
103TC0700X
Clinical Psychologist
Primary
3657
NC
103TF0200X
Forensic Psychologist
NC
103TF0200X
Forensic Psychologist

Other

Enumeration date
07/27/2006
Last updated
09/05/2011
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