| Spectrum, Therapy, Assessment, Rehabilitation | |
|
246 Carolinian Dr Summerville SC 29485-7854 | |
| (949) 322-6316 | |
| Not Available |
| Full Name | Spectrum, Therapy, Assessment, Rehabilitation |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 246 Carolinian Dr, Summerville, South Carolina |
| Authorized Official Name and Position | Zahra June Hajiaghamohseni (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8435328349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum, Therapy, Assessment, Rehabilitation 246 Carolinian Dr Summerville SC 29485-7854 Ph: (949) 322-6316 | Spectrum, Therapy, Assessment, Rehabilitation 246 Carolinian Dr Summerville SC 29485-7854 Ph: (949) 322-6316 |
| NPI Number | 1508031006 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508031006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 2008-071908 (South Carolina) | Primary |
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