Individual
MS. AMY S. COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5970 FAIRVIEW RD, STE 412, CHARLOTTE, NC 28210
(704) 817-7643
(704) 362-1170
Mailing address
5970 FAIRVIEW RD, STE 412, CHARLOTTE, NC 28210
(704) 817-7643
(704) 362-1170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046F8
NC STATE HEALTH PLAN
NC
01
—
5825006
CIGNA
NC
05
—
6000468
—
NC
01
—
7916842
AETNA
NC
Enumeration date
12/20/2006
Last updated
01/23/2019
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