| Grand Strand Psychological Services, Pa | |
|
4882 Socastee Blvd Myrtle Beach SC 29588-7245 | |
| (843) 294-4500 | |
| (843) 294-4503 |
| Full Name | Grand Strand Psychological Services, Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4882 Socastee Blvd, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Leonard Goldschmidt (PRESIDENT) |
| Authorized Official Contact | 8432944500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Strand Psychological Services, Pa 4882 Socastee Blvd Myrtle Beach SC 29588-7245 Ph: (843) 294-4500 | Grand Strand Psychological Services, Pa 4882 Socastee Blvd Myrtle Beach SC 29588-7245 Ph: (843) 294-4500 |
| NPI Number | 1295957678 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295957678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | SC845 (South Carolina) | Primary |
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