Individual
KATHLEEN LUCEY HACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9617 RUNSWYCK CT, CHARLOTTE, NC 28269-8393
(704) 281-9418
(704) 548-1834
Mailing address
9617 RUNSWYCK CT, CHARLOTTE, NC 28269-8393
(704) 281-9418
(704) 548-1834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1447
NC
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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