Provider Demographics
NPI:1033945480
Name:TELEPSYCH SOLUTIONS PC
Entity type:Organization
Organization Name:TELEPSYCH SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:KONST
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-390-8113
Mailing Address - Street 1:9600 HAMPTON OAKS LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-0492
Mailing Address - Country:US
Mailing Address - Phone:828-390-8113
Mailing Address - Fax:
Practice Address - Street 1:9600 HAMPTON OAKS LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-0492
Practice Address - Country:US
Practice Address - Phone:828-390-8113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty