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DUTCH FORK PSYCHOLOGICAL SERVICES
NPI 1750308409
Psychologist - Clinical in Irmo, SC

Active since July 17, 2006
7313 COLLEGE ST, IRMO, SC 29063(803) 407-7099(803) 807-9104 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dutch Fork Psychological Services NPPES

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

DUTCH FORK PSYCHOLOGICAL SERVICES (NPI 1750308409) is a healthcare organization registered as a clinical in Irmo, South Carolina and active in the NPI registry since July 2006. The organization lists William E. Haxton, Owner, as its authorized official.

NPPES Registry Identity

NPI1750308409
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDUTCH FORK PSYCHOLOGICAL SERVICES
Location Address7313 COLLEGE STIrmo, SC 29063-2902
Mailing Address7313 College StIrmo, SC 29063-2902 · (803) 407-7099 · Fax (803) 807-9104
Phone(803) 407-7099
Fax(803) 807-9104
Organization SubpartNo
Authorized OfficialWilliam E. HaxtonOwner · (803) 407-7099
Enumeration DateJuly 17, 2006
Last NPPES UpdateApril 27, 2015
✔ NPI 1750308409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in SC · 654
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7313 COLLEGE ST, Irmo, SC 29063
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Other Identifiers 1

MedicaidGP4164SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dutch Fork Psychological Services's NPI number?

The NPI number for Dutch Fork Psychological Services is 1750308409. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Dutch Fork Psychological Services located?

Dutch Fork Psychological Services is located at 7313 College St, Irmo, SC 29063. The listed phone number is (803) 407-7099.

What is Dutch Fork Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Dutch Fork Psychological Services was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.