DR. JUSTIN L QUATTLEBAUM PH.D.
NPI 1780961433
Psychologist - Clinical in Charleston, SC

Active since November 09, 2011
109 BEE ST, CHARLESTON, SC 29401(310) 890-9930 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin L Quattlebaum Ph.d. NPPES

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

DR. JUSTIN L QUATTLEBAUM PH.D. (NPI 1780961433) is an individual clinical provider in Charleston, South Carolina, licensed in South Carolina (10001028) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1780961433
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JUSTIN L QUATTLEBAUMCredential: PH.D.
Location Address109 BEE STCharleston, SC 29401-5703
Mailing Address6 Gadsden St, Apt. BCharleston, SC 29401-6207 · (310) 890-9930
Sole ProprietorYes
Enumeration DateNovember 9, 2011
NPI 1780961433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in SC · 10001028
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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 10001028 (SC)
109 BEE ST, Charleston, SC 29401

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
109 BEE ST
CHARLESTON, SC 29401
Dietitian, Registered
109 BEE ST
CHARLESTON, SC 29401
Pharmacist
109 BEE ST
CHARLESTON, SC 29401
Counselor (Pastoral)
109 BEE ST
CHARLESTON, SC 29401
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Social Worker (Clinical)
109 BEE ST
CHARLESTON, SC 29401
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Social Worker
109 BEE ST, RM E215
CHARLESTON, SC 29401

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 Justin Quattlebaum's NPI number?

The NPI number for Justin Quattlebaum is 1780961433. It was assigned to this individual provider in the NPPES registry on November 9, 2011.

Where is Justin Quattlebaum located?

Justin Quattlebaum practices at 109 Bee St, Charleston, SC 29401. The listed phone number is (310) 890-9930.

What is Justin Quattlebaum'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 Justin Quattlebaum was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.