MR. JEFFREY MATTHEW LORENCE


Address: 4425 Randolph Road - Suite# 328, Charlotte, NC 28211-2378
Phone: 7043649024

MR. JEFFREY MATTHEW LORENCE (NPI# 1285859983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285859983
Entity Type Individual
Full Name MR. JEFFREY MATTHEW LORENCE
Credential M,A., L.P.A.
Practice Address 4425 Randolph Road - Suite# 328
Charlotte
NC 28211-2378
Mailing Address 4425 Randolph Rd Ste 328
Charlotte
NC 28211-2378
Practice Telephone 7043649024
Mailing Telephone 7043649024
Enumeration Date 2007-04-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1983 NC Behavioral Health & Social Service Providers

Office Location

Street Address 4425 RANDOLPH ROAD - SUITE# 328
City CHARLOTTE
State NC
Zip Code 28211-2378

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1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770123531 Robert B Stroker Psychologist 10617 Kettering Dr Ste 213, Charlotte, NC 28226-4900 2020-01-09
1902460744 Holly Hauser Psychologist 1905 J N Pease Pl Ste 104, Charlotte, NC 28262-4509 2019-04-26
1972944759 Intrusted Care Solutions Inc Psychologist 2340 N Graham St Ste B, Charlotte, NC 28206-2506 2013-07-09
1790029791 David E Mermelstein Psychologist 6201 Fairview Road, Ste 200, Charlotte, NC 28210-3297 2012-11-15
1598014011 Jesse Selkin Psychologist 8832 Blakeney Professional Dr Ste 105, Charlotte, NC 28277-6717 2012-08-30
1629324975 Kevin L Gyoerkoe Psychologist 8832 Blakeney Professional Dr, Suite 105, Charlotte, NC 28277-6809 2012-07-24
1235406109 Redlak Recovery Center, Pllc Psychologist 10801 Johnston Rd Ste 217, Charlotte, NC 28226-7856 2011-11-21
1801172051 Chad Wesley Kraska Psychologist 7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400 2011-11-01
1679805717 Rose Marie Leday Psychologist 3440 Toringdon Way, Suite #205, Charlotte, NC 28277-3190 2010-01-29
1023241965 Briana Melissa Webber-lind Psychologist 12815 Longstraw Rd, Charlotte, NC 28227-3686 2009-08-26
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Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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