Individual
BRANDYN M. STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10516 PARK RD, CHARLOTTE, NC 28210-8405
(704) 541-9080
Mailing address
10516 PARK RD, CHARLOTTE, NC 28210-8405
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
10/02/2014
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