Individual
SUSAN GOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
1818 EUCLID AVE, CHARLOTTE, NC 28203-4790
(704) 737-1068
Mailing address
2114 LOCKHART DR, CHARLOTTE, NC 28203-6040
(704) 737-1068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2423
NC
Other
Enumeration date
05/23/2006
Last updated
02/19/2014
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