Eastover Psychological & Psychiatric Group of Lake Norman, P.a.
NPI #1982939823 in Cornelius, North Carolina
Provider Information
- NPI Number
- 1982939823
- Entity Type
- Organization
- Organization Name
- Eastover Psychological & Psychiatric Group of Lake Norman, P.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EASTOVER PSYCHOLOGICAL & PSYCHIATRIC GROUP, P.A.
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Oct 9, 2009
- Last Updated
- Oct 9, 2009
Practice Location
- Address
- 20723 TORRENCE CHAPEL RD
- Address 2
- SUITE 203
- City
- Cornelius
- State
- North Carolina
- ZIP Code
- 28031-6496
- Phone
- (704) 987-2560
Authorized Official
- Name
- DR. JOHN EDWARD HUMPHREY, M.D.
- Title
- PRESIDENT
- Phone
- (704) 362-2663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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