Grand Strand Psychological Services, Pa in Myrtle Beach - Clinical Neuropsychologist
Grand Strand Psychological Services, Pa - NPI 1295957678
Grand Strand Psychological Services, Pa is a Clinical Neuropsychologist in Myrtle Beach, South Carolina. Grand Strand Psychological Services, Pa practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Grand Strand Psychological Services, Pa is 1295957678. The last update date is 2007-11-08.
Grand Strand Psychological Services, Pa's current location address is 4882 Socastee Blvd, Myrtle Beach, South Carolina. You can contact this provider via phone number 8432944500 and fax number 8432944503. The mailing address for Grand Strand Psychological Services, Pa is 4882 Socastee Blvd, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Strand Psychological Services, Pa |
|---|---|
| Address | 4882 Socastee Blvd, Myrtle Beach, South Carolina |
| Phone Number | 8432944500 |
| Fax Number | 8432944503 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goldschmidt Leonard |
| Credentials | J.D., PSY. |
| Telephone Number | 8432944500 |
NPI Number Detail
| NPI Number | 1295957678 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-11-08 |
Provider Mailing Address Detail
| Address | 4882 Socastee Blvd |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295887245 |
| Phone Number | 8432944500 |
| Fax Number | 8432944503 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | SC845 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identifier code assigned to Grand Strand Psychological Services, Pa by the Centers for Medicare & Medicaid Services?
The Grand Strand Psychological Services, Pa has been issued the NPI (National Provider Identifier) 1295957678 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Grand Strand Psychological Services, Pa?
The Grand Strand Psychological Services, Pa is physically situated at 4882 Socastee Blvd, in the city of Myrtle Beach, state of SC, with the postal code 295887245.
What is the Grand Strand Psychological Services, Pa's area of specialization and corresponding taxonomy classification?
The Grand Strand Psychological Services, Pa's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did Grand Strand Psychological Services, Pa receive its 1295957678 assignment from the Centers for Medicare & Medicaid Services?
The Grand Strand Psychological Services, Pa was assigned its 1295957678 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Grand Strand Psychological Services, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Grand Strand Psychological Services, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-08.