SPECTRUM, THERAPY, ASSESSMENT, REHABILITATION
NPI 1508031006
Psychologist - Intellectual and Developmental Disabilities in Summerville, SC
- Organization
- Psychologist
- Intellectual and Developmental Disabilit...
About SPECTRUM, THERAPY, ASSESSMENT, REHABILITATION
This page provides the complete NPI Profile along with additional information for Spectrum, Therapy, Assessment, Rehabilitation, a provider established in Summerville, South Carolina operating as a Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1508031006 assigned on April 2008. The practitioner's primary taxonomy code is 103TM1800X with license number 2008-071908 (SC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Zahra June Hajiaghamohseni M.s. (Behavior Analyst)
- NPI
- 1508031006 Verify this NPI
- Provider Name
- SPECTRUM, THERAPY, ASSESSMENT, REHABILITATION
- Entity Type
- Organization
- Location Address
- 246 CAROLINIAN DR SUMMERVILLE, SC 29485
- Location Phone
- (949) 322-6316
- Mailing Address
- 246 CAROLINIAN DR SUMMERVILLE, SC 29485
- Mailing Phone
- (949) 322-6316
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-25-2008
- Last Update Date
- 04-25-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2008-071908
- License State
- SC
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SUMMERVILLE, SC 29485
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508031006, enumerated as an "organization" on April 25, 2008.
The provider is located at 246 CAROLINIAN DR SUMMERVILLE, SC 29485 and the phone number is (949) 322-6316.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
