Individual
RUSSELL CHAD HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211-1009
(704) 444-2400
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2561
NC
Other
Enumeration date
07/14/2006
Last updated
12/18/2023
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