| Psychology Services Center | |
|
2221 Devine St Suite 100 Columbia SC 29205-2418 | |
| (803) 734-0378 | |
| (803) 734-0379 |
| Full Name | Psychology Services Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2221 Devine St, Columbia, South Carolina |
| Authorized Official Name and Position | Michele Burnette (DIRECTOR) |
| Authorized Official Contact | 8037340378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Services Center 2221 Devine St Suite 100 Columbia SC 29205-2418 Ph: (803) 734-0378 | Psychology Services Center 2221 Devine St Suite 100 Columbia SC 29205-2418 Ph: (803) 734-0378 |
| NPI Number | 1942644091 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 04/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942644091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (South Carolina) | Primary |
| 103TS0200X | Psychologist - School | (South Carolina) | Secondary |
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