Kettling, Andrea Umbach

Kettling, Andrea Umbach is an individual health care provider with primary practice located at 1515 Mockingbird Ln Ste 580 , Charlotte NC 28209-3236. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kettling, Andrea Umbach can be contacted via phone (704) 910-8381.

Contact Information

Primary practice address
1515 Mockingbird Ln Ste 580 Charlotte NC 28209-3236
Phone: (704) 910-8381
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4522 North Carolina

Profile Details

NPI number 1396093233
LBN Legal business name Kettling, Andrea Umbach
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Aug 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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