| Karissa Adams, Ph.d. Llc | |
|
1744 Sam Rittenberg Blvd Suite A3 Charleston SC 29407-4935 | |
| (843) 364-5564 | |
| (843) 852-2239 |
| Full Name | Karissa Adams, Ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1744 Sam Rittenberg Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Karissa Katherine Adams (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8433645564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karissa Adams, Ph.d. Llc 1744 Sam Rittenberg Blvd Suite A3 Charleston SC 29407-4935 Ph: (843) 364-5564 | Karissa Adams, Ph.d. Llc 1744 Sam Rittenberg Blvd Suite A3 Charleston SC 29407-4935 Ph: (843) 364-5564 |
| NPI Number | 1477803567 |
|---|---|
| Provider Enumeration Date | 09/15/2012 |
| Last Update Date | 09/15/2012 |
| Medicare PECOS PAC ID | 3779733415 |
|---|---|
| Medicare Enrollment ID | O20121016000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477803567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1062 (South Carolina) | Primary |
| Provider Name | Karissa K Adams |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1992992044 PECOS PAC ID: 0749438802 Enrollment ID: I20120913000805 |
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