Cason Psychological Services, Llc | |
140 Summit Centre Dr Suite B Columbia SC 29229-7612 | |
(803) 404-8756 | |
(803) 526-7323 |
Full Name | Cason Psychological Services, Llc |
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Speciality | Psychologist |
Location | 140 Summit Centre Dr, Columbia, South Carolina |
Authorized Official Name and Position | Dana Cason (OWNER) |
Authorized Official Contact | 8034048756 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cason Psychological Services, Llc 140 Summit Centre Dr Suite B Columbia SC 29229-7612 Ph: (803) 404-8756 | Cason Psychological Services, Llc 140 Summit Centre Dr Suite B Columbia SC 29229-7612 Ph: (803) 404-8756 |
NPI Number | 1114326469 |
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Provider Enumeration Date | 08/21/2014 |
Last Update Date | 08/21/2014 |
Medicare PECOS PAC ID | 8224353198 |
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Medicare Enrollment ID | O20150217002130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114326469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1115 (South Carolina) | Primary |
Provider Name | Dana R Cason |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1942443031 PECOS PAC ID: 9436208030 Enrollment ID: I20090529000437 |
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