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Individual

DR. WILLIAM SIMPSON SAMPSON IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
10130 PERIMETER PKWY, STE 200, CHARLOTTE, NC 28216-2447
(888) 849-7379
(855) 857-7333
Mailing address
10130 PERIMETER PKWY, STE 200, CHARLOTTE, NC 28216-2447
(888) 849-7379
(855) 857-7333

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
2960
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6001297
NC
Enumeration date
05/27/2006
Last updated
02/10/2017
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