Organization
FAIRVIEW PSYCHOLOGICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA POWELL HUNDLEY M.A. (PSYCHOLOGIST/PRESIDENT)
(704) 362-2618
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN, SUITE 215, CHARLOTTE, NC 28209-3236
(704) 362-2618
Mailing address
691 HANOVER DR NW, CONCORD, NC 28027-7826
(704) 362-2618
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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