Organization
BELLAMENTE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE CONSTANTINO PSY.D. (PSYCHOLOGIST)
(330) 301-3343
Entity
Organization
Contact information
Practice address
5970 FAIRVIEW RD, CHARLOTTE, NC 28210-3167
(704) 362-5355
Mailing address
5970 FAIRVIEW RD, CHARLOTTE, NC 28210-3167
(704) 362-5355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4982
NC
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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