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Mark David Worthen, PSYD
Clinical Psychologist in Charlotte, North Carolina
NPI 1770502379

Mark David Worthen is a Clinical Psychologist based in Charlotte, NC and is specialized in Clinical. Mark David Worthen practices in Charlotte, NC and has the professional credentials of PSYD. The NPI Number for Mark David Worthen is 1770502379 and holds a License No. (North Carolina).

The current practice location address for Mark David Worthen is 15720 Brixham Hill Ave Ste 300, Charlotte, NC and can be reached out via phone at 980-391-6309 and via fax at 980-729-5870.

Location: 15720 Brixham Hill Ave Ste 300, Charlotte, NC, 28241-0105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770502379
Provider Name
Mark David Worthen
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
15720 Brixham Hill Ave Ste 300, Charlotte, NC, 28241-0105
Phone Number
980-391-6309
Fax Number
980-729-5870
Provider Enumeration Date
07/18/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6000718 05 NC
institution
Provider Business Practice Location Address Details
Address
15720 Brixham Hill Ave Ste 300
City
Charlotte
State
North Carolina
Zip
28277-4784
Phone Number
980-391-6309
Fax Number
980-729-5870
person
Provider Business Mailing Address Details
Address
15720 Brixham Hill Ave Ste 300
City
Charlotte
State
North Carolina
Zip
28277-4784
Phone Number
980-391-6309
Fax Number
980-729-5870
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
1835 (North Carolina)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1835 (North Carolina)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
()
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
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