NPI 1215067681

Dovetail Holdings, INC

Organisation Clinical Psychologist Concord, NC

Practice location

Address: 912 Copperfield Blvd NE Copperfield Commons, Concord, NC 28025-2433
Phone: (704) 425-4791
Fax: (704) 795-7179
Mailing address: 1210 Oakwood Ave, Kannapolis, NC 28081-5364

Authorised official

Name: Christopher Jon Runge
Title: President
Phone: (704) 425-4791

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2580 (NC)

Other Psychologist providers in North Carolina →

Registry record

NPI: 1215067681
Entity type: Organization
NPI issued: 6 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.