Provider Demographics
NPI:1508982992
Name:PFLEEGER, SANTINA A (MA-LPA, HSP-PA)
Entity Type:Individual
Prefix:MRS
First Name:SANTINA
Middle Name:A
Last Name:PFLEEGER
Suffix:
Gender:F
Credentials:MA-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 1:229 N CHURCH ST
Mailing Address - Street 2:#303
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2169
Mailing Address - Country:US
Mailing Address - Phone:704-377-6958
Mailing Address - Fax:
Practice Address - Street 1:130 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-4837
Practice Address - Country:US
Practice Address - Phone:704-983-1134
Practice Address - Fax:704-982-2552
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1595103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107477Medicaid