Healthcare Provider Details

I. General information

NPI: 1730281304
Provider Name (Legal Business Name): ROBERT H ABRAMOWITZ PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 RANDOLPH RD SUITE 411
CHARLOTTE NC
28211-2351
US

IV. Provider business mailing address

4425 RANDOLPH RD SUITE 411
CHARLOTTE NC
28211-2351
US

V. Phone/Fax

Practice location:
  • Phone: 704-362-1147
  • Fax: 704-362-1170
Mailing address:
  • Phone: 704-362-1147
  • Fax: 704-362-1170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number1407
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1407
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: