| Sally King, Ph.d., P.a. | |
|
1898 Calhoun St Unit # 5 Columbia SC 29201-2612 | |
| (803) 252-5300 | |
| Not Available |
| Full Name | Sally King, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1898 Calhoun St, Columbia, South Carolina |
| Authorized Official Name and Position | Sally King (PRESIDENT) |
| Authorized Official Contact | 8032525300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally King, Ph.d., P.a. 1898 Calhoun St Unit # 5 Columbia SC 29201-2612 Ph: (803) 252-5300 | Sally King, Ph.d., P.a. 1898 Calhoun St Unit # 5 Columbia SC 29201-2612 Ph: (803) 252-5300 |
| NPI Number | 1619019825 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619019825 | NPI | - | NPPES |
| PS0075 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | SC 217 (South Carolina) | Primary |
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