Dr. David Brantley III
Health Service Clinical Psychologist Group Psychotherapist Counseling Psychologist and 2 more
10130 Mallard Creek Rd Suite 300
Charlotte
, North Carolina 28262-6000
Dr. David Brantley III
Health Service Clinical Psychologist Group Psychotherapist Counseling Psychologist and 2 more
10130 Mallard Creek Rd Suite 300
Charlotte
, North Carolina 28262-6000
(704) 944-3113
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Counseling Psychologist
- Clinical Child & Adolescent Psychologist
- Health Service
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. David Brantley III
- 10130 Mallard Creek Rd Suite 300
- Charlotte, NC
- Zip : 28262-6000
- Fax : (704) 944-3113
- Phone : (704) 944-3112
Second Address
- Dr. David Brantley III
- 10130 Mallard Creek Rd Suite 300
- Charlotte, NC
- Zip : 28262-6000
- Fax : (704) 944-3113
- Phone : (704) 944-3112
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 3777 | NC |
| Y | 103G00000X | Clinical Psychologist | 3777 | NC |
| Y | 103TC0700X | Clinical Psychologist | 3777 | NC |
| N | 103TC1900X | Counseling Psychologist | 3777 | NC |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3777 | NC |
| N | 103TH0100X | Health Service | 3777 | NC |
| N | 103TP2701X | Group Psychotherapist | 3777 | NC |
National Provider Identifier
| NPI | 1336457670 |
|---|---|
| Provider Name | Dr. David Brantley III |
| First Address | Charlotte, NC 28262-6000 |
| Second Address | Charlotte, NC 28262-6000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2010 |
| Last Update Date | 17/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.