Dutch Fork Psychological Services in Irmo - Clinical

Dutch Fork Psychological Services - NPI 1750308409

Dutch Fork Psychological Services is a Clinical in Irmo, South Carolina. Dutch Fork Psychological Services practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dutch Fork Psychological Services is 1750308409. The last update date is 2015-04-27.

Dutch Fork Psychological Services's current location address is 7313 College St, Irmo, South Carolina. You can contact this provider via phone number 8034077099 and fax number 8038079104. The mailing address for Dutch Fork Psychological Services is 7313 College St, Irmo, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dutch Fork Psychological Services
Address 7313 College St, Irmo, South Carolina
Phone Number 8034077099
Fax Number 8038079104
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Haxton E. William
Credentials PH.D.
Telephone Number 8034077099

NPI Number Detail

NPI Number 1750308409
Provider Enumeration Date 2006-07-17
Last Updated Date 2015-04-27

Provider Mailing Address Detail

Address 7313 College St
City Irmo
State South Carolina (SC)
Post Code 290632902
Phone Number 8034077099
Fax Number 8038079104

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 654
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GP4164 SC --

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FAQs about Dutch Fork Psychological Services

What is the unique identification code assigned to Dutch Fork Psychological Services by the Centers for Medicare & Medicaid Services?

The Dutch Fork Psychological Services has been issued the NPI (National Provider Identifier) 1750308409. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dutch Fork Psychological Services is physically located?

The Dutch Fork Psychological Services is physically situated at the following address: 7313 College St, Irmo, SC, 290632902.

What is the Dutch Fork Psychological Services's specialty and taxonomy code?

The Dutch Fork Psychological Services's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Dutch Fork Psychological Services receive its 1750308409 assignment from the Centers for Medicare & Medicaid Services?

The Dutch Fork Psychological Services was assigned its 1750308409 by the Centers for Medicare & Medicaid Services on 2006-07-17.

When was the information pertaining to Dutch Fork Psychological Services most recently updated or revised?

The details related to Dutch Fork Psychological Services, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-27.

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