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Marlena Nicole Matusewicz, PSYD
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1588705248

Marlena Nicole Matusewicz is a Student in an Organized Health Care Education/Training Program based in Charlotte, NC. Marlena Nicole Matusewicz practices in Charlotte, NC and has the professional credentials of PSYD. The NPI Number for Marlena Nicole Matusewicz is 1588705248 and holds a License No. (North Carolina).

The current practice location address for Marlena Nicole Matusewicz is 501 Billingsley Rd, Charlotte, NC and can be reached out via phone at 704-358-2744 and via fax at 704-358-2945.

Location: 501 Billingsley Rd, Charlotte, NC, 28260-1067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588705248
Provider Name
Marlena Nicole Matusewicz
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
501 Billingsley Rd, Charlotte, NC, 28260-1067
Phone Number
704-358-2744
Fax Number
704-358-2945
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588705248 05 NC
PS0538 05 SC
institution
Provider Business Practice Location Address Details
Address
501 Billingsley Rd
City
Charlotte
State
North Carolina
Zip
28211-1009
Phone Number
704-358-2744
Fax Number
704-358-2945
person
Provider Business Mailing Address Details
Address
501 Billingsley Rd
City
Charlotte
State
North Carolina
Zip
28211-1009
Phone Number
704-358-2744
Fax Number
704-358-2945
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
4499 (North Carolina)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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