| NPI | 1942644091 |
|---|---|
| Former Legal Business Name | UNIVERSITY OF SOUTH CAROLINA |
| Entity Type | Organization |
| Authorized Contact | MICHELE BURNETTE Director 803-734-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |