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CHILD & FAMILY DEVELOPMENT NPI 1871697888


NPI Information

NPI: 1871697888
Provider Name: CHILD & FAMILY DEVELOPMENT
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
4012 PARK RD
SUITE 200
CHARLOTTE, NC
ZIP 28209
Phone: (704) 332-4834
Get Directions

CHILD & FAMILY DEVELOPMENT is a clinical child and adolescent psychologist in Charlotte, NC. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. CHILD & FAMILY DEVELOPMENT NPI is 1871697888. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4012 PARK RD
SUITE 200
CHARLOTTE, NC
ZIP 28209-377
Phone: (704) 332-4834
Fax: (704) 372-9653

The provider's authorized official is Pam Jones .
The authorized official title is President and has the following contact phone number (704) 332-4834.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 5/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentNORTH CAROLINANo
2103TC2200XPsychologistClinical Child & AdolescentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1720103CMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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