| NPI | 1447334198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TRACY GOODE Office Manager 864-654-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 349) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-09-06 |