Organization
DEITCHMAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC L DEITCHMAN PH.D. (OWNER)
(704) 364-0452
Entity
Organization
Contact information
Practice address
417 S. SHARON AMITY RD, SUITE A, CHARLOTTE, NC 28211
(704) 364-0452
(704) 364-5481
Mailing address
1824 ASHEVILLE PL, CHARLOTTE, NC 28203-6054
(704) 364-0452
(704) 364-5481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
892
NC
103TC0700X
Clinical Psychologist
0892
NC
103TC0700X
Clinical Psychologist
Primary
892
NC
Other
Enumeration date
07/09/2006
Last updated
12/01/2011
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