person
Dr. Jeremy William Lyne, PSYD
Student in an Organized Health Care Education/Training Program in Charleston, South Carolina
NPI 1528680246

Jeremy William Lyne is a Student in an Organized Health Care Education/Training Program based in Charleston, SC. Jeremy William Lyne practices in Charleston, SC and has the professional credentials of PSYD. The NPI Number for Jeremy William Lyne is 1528680246 and holds a License No. (South Carolina).

The current practice location address for Jeremy William Lyne is 109 Bee St, Charleston, SC and can be reached out via phone at 843-577-5011.

Location: 109 Bee St, Charleston, SC, 29414-6059
person
Provider Profile Details
NPI Number
1528680246
Provider Name
Jeremy William Lyne
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
109 Bee St, Charleston, SC, 29414-6059
Phone Number
843-577-5011
Fax Number
Provider Enumeration Date
05/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 Bee St
City
State
Zip
29401-5703
Phone Number
843-577-5011
Fax Number
person
Provider Business Mailing Address Details
Address
109 Bee St
City
State
Zip
29401-5703
Phone Number
843-577-5011
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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