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Contact Information

PSYCHOLOGICAL ASSOCIATES PA
114 WILLIAMS STREET
CONNELLY BLDG STE 104
LANCASTER, SC29720
 Phone: 803-283-4004
 Fax: 803-283-4004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL ASSOCIATES PA

NPI Number 1194746446
LBN Legal business name PSYCHOLOGICAL ASSOCIATES PA
Authorized official JOSEPH GOLDSMITH - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 262
SC Medicaid GP0294
SC Medicaid PS0040
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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