| NPI | 1093047094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA M ALLOWAY Licensed Psychologist 704-655-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 8834) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2016-06-08 |