Healthcare Provider Details

I. General information

NPI: 1679232698
Provider Name (Legal Business Name): POHLMAN PSYCHOLOGY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7619 TREYFORD LN
CHARLOTTE NC
28270-1306
US

IV. Provider business mailing address

228 PARK AVE S
NEW YORK NY
10003-1502
US

V. Phone/Fax

Practice location:
  • Phone: 919-949-1224
  • Fax:
Mailing address:
  • Phone: 914-251-4158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DIANA HELDFOND
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 914-251-4158