Organization
CHARLOTTE PSYCHOTHERAPY & CONSULTATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DEITCHMAN PH.D. (PRESIDENT)
(704) 364-0452
Entity
Organization
Contact information
Practice address
417 S SHARON AMITY RD STE A, CHARLOTTE, NC 28211-2875
(704) 364-0452
(704) 364-5481
Mailing address
417 S SHARON AMITY RD STE A, CHARLOTTE, NC 28211-2875
(704) 364-0452
(704) 364-5481
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1074
NC
103TC0700X
Clinical Psychologist
892
NC
103TF0200X
Forensic Psychologist
Primary
2061
NC
1041C0700X
Clinical Social Worker
C003965
NC
Other
Enumeration date
07/01/2006
Last updated
09/11/2025
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