Individual
DR. AMANDA COBB MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210-3269
(704) 552-0116
(704) 552-7550
Mailing address
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210-3269
(704) 552-0116
(704) 552-7550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3626
NC
Other
Enumeration date
05/09/2007
Last updated
02/14/2011
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