institution
Coastal Pediatric Associates, P.a.
Health Service Psychologist in Charleston, South Carolina
NPI 1083110019

Coastal Pediatric Associates, P.a. is a Health Service Psychologist based in Charleston, SC and is specialized in Health Service. Coastal Pediatric Associates, P.a. practices in Charleston, SC. The NPI Number for Coastal Pediatric Associates, P.a. is 1083110019 and holds a License No. (South Carolina).

The current practice location address for Coastal Pediatric Associates, P.a. is 2051 Charlie Hall Blvd, Charleston, SC and can be reached out via phone at 843-737-9467 and via fax at 843-371-5507.

Location: 2051 Charlie Hall Blvd, Charleston, SC, 29414-5834
institution
Provider Profile Details
NPI Number
1083110019
Provider Name
Coastal Pediatric Associates, P.a.
Credential
Provider Entity Type
Organization
Address
2051 Charlie Hall Blvd, Charleston, SC, 29414-5834
Phone Number
843-737-9467
Fax Number
843-371-5507
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2051 Charlie Hall Blvd
City
State
Zip
29414-5834
Phone Number
843-737-9467
Fax Number
843-371-5507
person
Provider Business Mailing Address Details
Address
2051 Charlie Hall Blvd
City
State
Zip
29414-5834
Phone Number
843-737-9467
Fax Number
843-371-5507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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