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Organization

THE FAMILY ADVOCATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. COURTNEY RASBY SSP (SCHOOL PSYCHOLOGIST)
(704) 517-6696
Entity
Organization

Contact information

Practice address
1201 JADE GLEN DR, CHARLOTTE, NC 28262-1621
(704) 517-6696
(704) 973-0880
Mailing address
1201 JADE GLEN DR, CHARLOTTE, NC 28262-1621
(704) 517-6696
(704) 973-0880

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TE1100X
Exercise & Sports Psychologist
103TF0000X
Family Psychologist
103TH0004X
Health Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP2701X
Group Psychotherapy Psychologist
103TS0200X
School Psychologist
Primary
133NN1002X
Nutrition Education Nutritionist
174200000X
Meals Provider
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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