Provider Demographics
NPI:1972841815
Name:LESS, AARON D (PHD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:D
Last Name:LESS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 VALLEY STREAM RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3569
Mailing Address - Country:US
Mailing Address - Phone:704-965-9965
Mailing Address - Fax:
Practice Address - Street 1:1905 J N PEASE PL
Practice Address - Street 2:STE. 104
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4557
Practice Address - Country:US
Practice Address - Phone:704-965-9965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4403103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling