HEIDAR A. MODARESI

ROCK HILL, SC
NPI1619920980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: SC  0575)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: NC  1973)
101YM0800X Counselor, Mental Health
(Licence: SC  0575)
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: SC  0575)
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: NC  1973)
103TC0700X Psychologist, Clinical
(Licence: NC  1973)
103T00000X Psychologist
(Licence: SC  0575)
103T00000X Psychologist
(Licence: NC  1973)
Enumeration Date2006-05-18
Last Update Date2010-09-02
Business Address
Dr. HEIDAR A. MODARESI PHD
3060 WIMBLEDON LN
ROCK HILL, SC 29732-9249
Phone number: 803-366-9791
Mailing Address
Dr. HEIDAR A. MODARESI PHD
3060 WIMBLEDON LN
ROCK HILL, SC 29732-9249
Phone number: 803-366-9791