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Contact Information

NORTHEAST PSYCHIATRIC ASSOCIATES
644 REDBANK ROAD
ORANGEBURG, SC29118
 Phone: 803-531-4756
 Fax: 803-531-3180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for NORTHEAST PSYCHIATRIC ASSOCIATES · (Female)

NPI Number 1487728051
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2006
Last updated 12/19/2011 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP1099
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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