| NPI | 1376772335 |
|---|---|
| Former Legal Business Name | ANDREA LEA PRITCHARD-BOONE, PH. D. |
| Entity Type | Organization |
| Authorized Contact | ANDREA LEA PRITCHARD-BOONE President 843-407-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: SC 1122) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: SC 1122) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2015-04-23 |