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Individual

DEBORAH HALL PROFFITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
4425 RANDOLPH RD, SUITE 206, CHARLOTTE, NC 28211-2348
(704) 609-4006
(704) 442-1656
Mailing address
2705 TANGLEWOOD LN, CHARLOTTE, NC 28211-1646
(704) 442-1656
(704) 442-1656

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2443
NC
103TC0700X
Clinical Psychologist
2443
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2443
LICENSE- PSYCHOLOGICAL A.
NC
Enumeration date
05/16/2006
Last updated
09/11/2025
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