| Dr Allison Marie Deatherage, PHD | |
|
204 W Hill Blvd, Charleston Afb, SC 29404-4704 | |
| (843) 963-6852 | |
| Not Available |
| Full Name | Dr Allison Marie Deatherage |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 204 W Hill Blvd, Charleston Afb, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659585099 | NPI | - | NPPES |
| 2614899 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7351 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allison Marie Deatherage, PHD Po Box 21467, Columbus, OH 43221-0467 Ph: (614) 380-9371 | Dr Allison Marie Deatherage, PHD 204 W Hill Blvd, Charleston Afb, SC 29404-4704 Ph: (843) 963-6852 |
Brian F. Reiner, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 204 W Hill Blvd, Charleston Afb, SC 29404 Phone: 843-963-6880 | |
Dr. Douglas Vail Campbell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 437mdos/lssc - 204 West Hill Blvd, Charleston Afb, SC 29404 Phone: 843-963-6852 Fax: 843-963-2162 |