Organization
PARKTOWNE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN BURT POSTON JR. PSY.D. (OWNER/MANAGER)
(704) 522-8490
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN, SUITE 212, CHARLOTTE, NC 28209-3236
(704) 522-8490
Mailing address
1515 MOCKINGBIRD LN, SUITE 212, CHARLOTTE, NC 28209-3236
(704) 522-8490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2345099
MEDICARE GROUP NUMBER
NC
Enumeration date
09/26/2007
Last updated
01/26/2011
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