South Carolina Department Of Juvenile Justice in Columbia - Psychologist
South Carolina Department Of Juvenile Justice - NPI 1528108073
South Carolina Department Of Juvenile Justice is a Psychologist in Columbia, South Carolina. South Carolina Department Of Juvenile Justice practices all healthcare services and medical treatments related to Psychologist. The NPI Number for South Carolina Department Of Juvenile Justice is 1528108073. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is Po Box 21069, Columbia, South Carolina. You can contact this provider via phone number 8038964751 and fax number 8038968473. The mailing address for South Carolina Department Of Juvenile Justice is Po Box 21069, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | Po Box 21069, Columbia, South Carolina |
| Phone Number | 8038964751 |
| Fax Number | 8038968473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1528108073 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 21069 |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292211069 |
| Phone Number | 8038964751 |
| Fax Number | 8038968473 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 969MXH | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to South Carolina Department Of Juvenile Justice by the Centers for Medicare & Medicaid Services (CMS)?
The South Carolina Department Of Juvenile Justice has been assigned the NPI (National Provider Identifier) 1528108073. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where South Carolina Department Of Juvenile Justice's facilities are geographically located?
The facilities of South Carolina Department Of Juvenile Justice are physically situated at the following location: Po Box 21069, Columbia, SC, 292211069.
What is the South Carolina Department Of Juvenile Justice's area of specialization and corresponding taxonomy classification?
The South Carolina Department Of Juvenile Justice's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1528108073 to South Carolina Department Of Juvenile Justice?
The Centers for Medicare & Medicaid Services assigned the 1528108073 to South Carolina Department Of Juvenile Justice on 2007-02-07.
When was the information pertaining to South Carolina Department Of Juvenile Justice most recently updated or revised?
The details related to South Carolina Department Of Juvenile Justice, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.