Southeast Psychological Services, Pllc

LBN: Southeast Psychological Services, Pllc
Southeast Psychological Services, Pllc is an health care organization with primary practice located at 6060 Piedmont Row Dr S Suite 120, Charlotte NC 28287-3884. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Southeast Psychological Services, Pllc can be contacted via phone (704) 552-0116, or through Gaskill, Frank W via phone (704) 552-0116.

Contact Information

Primary practice address
6060 Piedmont Row Dr S Suite 120 Charlotte NC 28287-3884
Phone: (704) 552-0116
Fax: (704) 552-7550
Website:
Map and Directions
Authorized official contact:
Name: Gaskill, Frank W PH.D.
Phone: (704) 552-0116

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X CO5021 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1811053218
LBN Legal business name Southeast Psychological Services, Pllc
DBA Doing business as
Authorized official Gaskill, Frank W PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Nov 25th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811053218 NPPES
North Carolina MEDICAID 6005111

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