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Individual

DR. ALEKSANDRA LISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LPA

Contact information

Practice address
4012 PARK RD, SUITE 200, CHARLOTTE, NC 28209-2377
(704) 332-4834
(704) 372-9653
Mailing address
4012 PARK RD, SUITE 200, CHARLOTTE, NC 28209-2377
(704) 332-4834
(704) 372-9653

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4613
NC

Other

Enumeration date
07/10/2014
Last updated
07/10/2014
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