Individual
DR. JENNIFER M. MARCHESANI KEYVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1900 RANDOLPH RD STE 800, CHARLOTTE, NC 28207-1110
(704) 384-1246
(704) 384-6072
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4444
NC
103TC0700X
Clinical Psychologist
4444
NC
Other
Enumeration date
08/03/2009
Last updated
01/03/2024
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