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Individual

ALAN WAYNE BOZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
BEHAVIORAL HEALTH CENTER CMC RANDOLPH, 501 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 358-2716
Mailing address
BEHAVIORAL HEALTH CENTER CMC RANDOLPH, 501 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1009
(704) 358-2710
(704) 358-2938

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2095
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000727
NC
Enumeration date
07/09/2006
Last updated
02/27/2015
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