Randolph Carey Wall in Charlotte - Clinical
Randolph Carey Wall - NPI 1659345163
Randolph Carey Wall is a Clinical in Charlotte, North Carolina. Randolph Carey Wall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randolph Carey Wall is 1659345163. The last update date is 2007-07-08.
Randolph Carey Wall's current location address is 417 S Sharon Amity Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043640452 and fax number 7043645481. The mailing address for Randolph Carey Wall is 417 S Sharon Amity Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Carey Wall |
|---|---|
| Address | 417 S Sharon Amity Rd, Charlotte, North Carolina |
| Phone Number | 7043640452 |
| Fax Number | 7043645481 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1659345163 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 417 S Sharon Amity Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282112875 |
| Phone Number | 7043640452 |
| Fax Number | 7043645481 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1074 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Randolph Carey Wall by the Centers for Medicare & Medicaid Services?
The Randolph Carey Wall has been issued the NPI (National Provider Identifier) 1659345163. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Randolph Carey Wall is physically located?
The Randolph Carey Wall is situated at the following address: 417 S Sharon Amity Rd, Charlotte, NC 282112875.
What is Randolph Carey Wall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randolph Carey Wall is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659345163 to Randolph Carey Wall?
The Centers for Medicare & Medicaid Services assigned the 1659345163 to Randolph Carey Wall on 2006-02-14.
When was the Randolph Carey Wall's information last updated?
The Randolph Carey Wall's information was last updated on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN