Individual
DR. NYAKA NIILAMPTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210-3269
(704) 552-0116
(704) 552-7550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3567
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600112
—
NC
Enumeration date
11/12/2008
Last updated
05/19/2009
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