| Neurobehavioral Diagnostics Llc | |
|
11 Richland Medical Park Dr Columbia SC 29203-6863 | |
| (803) 434-4838 | |
| Not Available |
| Full Name | Neurobehavioral Diagnostics Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11 Richland Medical Park Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Kimberly Kruse (MANAGER) |
| Authorized Official Contact | 8034344838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Diagnostics Llc 143 Island View Cir Elgin SC 29045-9182 Ph: (803) 434-4838 | Neurobehavioral Diagnostics Llc 11 Richland Medical Park Dr Columbia SC 29203-6863 Ph: (803) 434-4838 |
| NPI Number | 1326451055 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326451055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1158 (South Carolina) | Primary |
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