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OBATALA OMBU M.A.
NPI 1184969347
Psychologist - Forensic in Kingstree, SC

Active since November 29, 2012
209 SHORT ST, KINGSTREE, SC 29556(843) 372-5959(843) 355-7746 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Obatala Ombu M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBATALA OMBU M.A. (NPI 1184969347) is an individual forensic provider in Kingstree, South Carolina and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1184969347
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameOBATALA OMBUCredential: M.A.
Location Address209 SHORT STKingstree, SC 29556-3926
Mailing AddressPo Box 697Kingstree, SC 29556-0697 · (843) 355-2772 · Fax (843) 355-7746
Phone(843) 372-5959
Fax(843) 355-7746
Sole ProprietorNo
Enumeration DateNovember 29, 2012
✔ NPI 1184969347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
209 SHORT ST, Kingstree, SC 29556
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SC DEPARTMENT OF JUVENILE JUSTICE
Community/Behavioral Health
209 SHORT ST
KINGSTREE, SC 29556
Williamsburg County (843) 355-2772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obatala Ombu's NPI number?

The NPI number for Obatala Ombu is 1184969347. It was assigned to this individual provider in the NPPES registry on November 29, 2012.

Where is Obatala Ombu located?

Obatala Ombu practices at 209 Short St, Kingstree, SC 29556. The listed phone number is (843) 372-5959.

What is Obatala Ombu's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Obatala Ombu was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.