| NPI | 1871858720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE D BESSELLIEU Clinical Psychologist/Owner 803-463-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 778) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |