| The Palmetto Center For Psychological Assessment, Llc | |
|
123 Library Hill Ln Suite B Lexington SC 29072-3895 | |
| (803) 358-9410 | |
| (803) 358-9409 |
| Full Name | The Palmetto Center For Psychological Assessment, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 Library Hill Ln, Lexington, South Carolina |
| Authorized Official Name and Position | A Nicholas Depace (SOLE PROPRIETOR) |
| Authorized Official Contact | 8033589410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Palmetto Center For Psychological Assessment, Llc Po Box 1438 Lexington SC 29071-1438 Ph: (803) 358-9410 | The Palmetto Center For Psychological Assessment, Llc 123 Library Hill Ln Suite B Lexington SC 29072-3895 Ph: (803) 358-9410 |
| NPI Number | 1174800387 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 11/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174800387 | NPI | - | NPPES |
| PS0354 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 828 (South Carolina) | Primary |
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