Graduated: 2020
NPI: 1528677226
Practice Locations (2)
SOUTHPARK PSYCHOTHERAPY PLLC
309 S SHARON AMITY RD, SUITE 304
CHARLOTTE, NC 282112886
SOUTHPARK PSYCHOTHERAPY PLLC
5950 FAIRVIEW RD, SUITE 660
CHARLOTTE, NC 282103113
9809990501
Source: CMS National Downloadable File, September 2026.