Stacy Denise Brink PSY.D.

NPI 1114175338 - Psychologist - 103TC0700X

NPI Details
NPI 1114175338
Gender Female
Enumeration Date 08/29/2008
Last Updated 03/15/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
5203 SHARON RD
CHARLOTTE NC, 28210-4721, US
Phone (704) 554-9900
Fax
Business Location
2336 SHENANDOAH AVE
CHARLOTTE NC, 28205-6026, US
Phone (980) 422-4016
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State North Carolina
License Number 4026
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According to our database, Dr. Stacy Denise Brink PSY.D. NPI is 1114175338, taxonomy code is 103TC0700X and license number is 4026, license state is located at North Carolina. Stacy Denise Brink PSY.D. physically located at 5203 Sharon Rd, Charlotte NC, 28210-4721. NPI Number Stacy Denise Brink PSY.D. has the Individual type.

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1114175338 NPI number is provided on an as is basis without warranty of any kind. 1114175338 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Denise Brink PSY.D. are for informational purposes only.