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Contact Information

UPSTATE PSYCHOTHERAPY, LLC
3441 PELHAM RD STE 103
GREENVILLE, SC29615-4184
 Phone: 864-735-0662
 Fax: 864-568-7262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for UPSTATE PSYCHOTHERAPY LLC · (Female)

NPI Number 1811538382
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2019
Last updated 01/21/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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