Individual
AMY WICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.A.
Contact information
Practice address
1209 BRAEBURN RD, CHARLOTTE, NC 28211-4768
(704) 293-7231
Mailing address
1209 BRAEBURN RD, CHARLOTTE, NC 28211-4768
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2352
NC
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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