| Charleston Neuropsychology Llc | |
|
1459 Stuart Engals Blvd., Suite 204a Mount Pleasant SC 29464 | |
| (843) 849-9913 | |
| (843) 881-6878 |
| Full Name | Charleston Neuropsychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1459 Stuart Engals Blvd.,, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Albert Gordon Teichner (OWNER) |
| Authorized Official Contact | 8438499913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Neuropsychology Llc 1459 Stuart Engals Blvd., Suite 204a Mount Pleasant SC 29464 Ph: (843) 849-9913 | Charleston Neuropsychology Llc 1459 Stuart Engals Blvd., Suite 204a Mount Pleasant SC 29464 Ph: (843) 849-9913 |
| NPI Number | 1336660315 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 06/29/2017 |
| Medicare PECOS PAC ID | 0648527606 |
|---|---|
| Medicare Enrollment ID | O20180720002882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336660315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 800 (South Carolina) | Primary |
| Provider Name | Cassidy C Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013407493 PECOS PAC ID: 9032467576 Enrollment ID: I20180731003040 |
| Provider Name | Michael A Sugarman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417446204 PECOS PAC ID: 3173871530 Enrollment ID: I20180802000089 |
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