Individual
TAYLOR CHRISTINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPA, HSP-PA
Contact information
Practice address
344 ROLLING HILL RD STE 105, MOORESVILLE, NC 28117-6865
(704) 662-5459
Mailing address
14331 PERUGIA WAY APT 206, CHARLOTTE, NC 28273-7237
(315) 317-3138
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6263
NC
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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