Individual
DR. ANNELISE MIYA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
225 E WORTHINGTON AVE, CHARLOTTE, NC 28203-4867
(773) 531-8738
Mailing address
8013 SWITCHBACK TRL, CHARLOTTE, NC 28213-7165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071010903
IL
103T00000X
Psychologist
PSY.0005562
CO
103TC0700X
Clinical Psychologist
071010903
IL
103TC0700X
Clinical Psychologist
Primary
6750
NC
103TC0700X
Clinical Psychologist
PSY.0005562
CO
Other
Enumeration date
03/22/2021
Last updated
07/28/2025
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