Individual
DR. RANDOLPH CAREY WALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
417 S SHARON AMITY RD, CHARLOTTE, NC 28211-2875
(704) 364-0452
(704) 364-5481
Mailing address
417 S SHARON AMITY RD, CHARLOTTE, NC 28211-2875
(704) 364-0452
(704) 364-5481
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1074
NC
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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