Organization
MOMENTUM PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN EVERHART NEWMAN PHD (OWNER)
(704) 444-0087
Entity
Organization
Contact information
Practice address
3318 PARTING BROOK CT, CHARLOTTE, NC 28210-8159
(704) 444-0087
Mailing address
301 S MCDOWELL ST STE 125, CHARLOTTE, NC 28204-0031
(704) 444-0087
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
08/23/2022
Last updated
08/30/2022
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