South Park Behavioral
South Park Behavioral provides Psychologist services in Charlotte, North Carolina. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
6845 Fairview RdCharlotte, NC 28210-3500
Phone: (704) 442-9065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X |
|---|
Record details
| NPI number | 1043382229 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Boyer — Md · (704) 442-9065 |
| NPI enumerated | November 14, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6845 Fairview Rd, Charlotte, NC 28210-3500 |
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Dr. Devon Shook, PHD
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Dr. Amy Siegel, PSYD
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Dr. John Childs Simpson, 111, PHD
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Mrs. Sherry Bass Stacks, MA, LPC
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MS. Vanessa Maria Hawkins Staton, MALPA
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