Individual
BILAL M GHANDOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210-3269
(704) 552-0116
(704) 552-7550
Mailing address
10440 PARK RD STE 300, CHARLOTTE, NC 28210-8544
(980) 237-4766
(980) 404-2274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
102851
NC
Other
Enumeration date
09/03/2009
Last updated
09/24/2021
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