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NPI Code Detail

MEDICARE: ASHLI GRACE KURIAN PH.D

MEDICARE: ASHLI GRACE KURIAN PH.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist5891NC
2103TC0700XClinical Psychologist37456TX
3103TC0700XClinical Psychologist5891NC

General Provider Information

NPI Number : 1811411861
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLI GRACE KURIAN PH.D
Provider Business Mailing Address
First Line : 15801 BRIXHAM HILL AVE STE 475
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0878
Country : US
Telephone Number : 704-251-9084
Fax Number : 877-513-7720
Provider Business Practice Location Address
First Line : 15801 BRIXHAM HILL AVE STE 475
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0878
Country : US
Telephone Number : 704-251-9084
Fax Number : 877-513-7720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2017
Last Update Date : 09/19/2024

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Directions to “ ASHLI GRACE KURIAN PH.D” Practice Location

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