Provider Demographics
NPI:1447070644
Name:NAGY, CHARLOTTE LORETTA (LPA-HSP-PA)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:LORETTA
Last Name:NAGY
Suffix:
Gender:F
Credentials:LPA-HSP-PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 BRENNAN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1311
Mailing Address - Country:US
Mailing Address - Phone:919-622-1450
Mailing Address - Fax:
Practice Address - Street 1:3308 BRENNAN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1311
Practice Address - Country:US
Practice Address - Phone:919-622-1450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-12
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3794103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist