Individual
DR. NICOLE LACOSTE CANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2101 SARDIS RD N, SUITE 220, CHARLOTTE, NC 28227
(704) 841-1163
(704) 841-1164
Mailing address
2101 SARDIS RD N, SUITE 220, CHARLOTTE, NC 28227
(704) 841-1163
(704) 841-1164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3520
NC
Other
Enumeration date
03/25/2008
Last updated
05/23/2018
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