Organization
CHARLOTTE PSYCHOLOGICAL ASSESSMENT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE L CANTLEY PH.D. (PRESIDENT)
(704) 841-1163
Entity
Organization
Contact information
Practice address
1811 SARDIS RD N, SUITE 207, CHARLOTTE, NC 28270-1426
(704) 841-1163
(704) 841-1164
Mailing address
1811 SARDIS RD N, SUITE 207, CHARLOTTE, NC 28270-1426
(704) 841-1163
(704) 841-1164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3520
NC
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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