| Klohn Psychology Service, Pa | |
|
5301 N Trenholm Rd Suite C Columbia SC 29206-3226 | |
| (803) 790-9999 | |
| (803) 790-9988 |
| Full Name | Klohn Psychology Service, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 5301 N Trenholm Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Franklin James Klohn (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8037909999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Klohn Psychology Service, Pa 5301 N Trenholm Rd Suite C Columbia SC 29206-3226 Ph: (803) 790-9999 | Klohn Psychology Service, Pa 5301 N Trenholm Rd Suite C Columbia SC 29206-3226 Ph: (803) 790-9999 |
| NPI Number | 1578784815 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426241050 |
|---|---|
| Medicare Enrollment ID | O20101015000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578784815 | NPI | - | NPPES |
| PS0104 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 374 (South Carolina) | Primary |
| Provider Name | Franklin James Klohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275582868 PECOS PAC ID: 8325231954 Enrollment ID: I20101015000058 |
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