Dr Justin L Quattlebaum, PHD - Psychologist in Charleston, SC

Dr Justin L Quattlebaum, PHD is a Psychologist - Clinical based in Charleston, South Carolina. Dr Justin L Quattlebaum is licensed to practice in South Carolina (license number 10001028) and his current practice location is 109 Bee St, Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at (310) 890-9930.

NPI number for Dr Justin L Quattlebaum is 1780961433 and his current mailing address is 6 Gadsden St, Apt. B, Charleston, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780961433.

Contact Information

Dr Justin L Quattlebaum, PHD
109 Bee St,
Charleston, SC 29401-5703
(310) 890-9930
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Justin L Quattlebaum
GenderMale
SpecialityPsychologist - Clinical
Location109 Bee St, Charleston, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780961433
  • Provider Enumeration Date: 11/09/2011
  • Last Update Date: 11/09/2011

Medical Identifiers

Medical identifiers for Dr Justin L Quattlebaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780961433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 10001028 (South Carolina)Primary
103TC2200XPsychologist - Clinical Child & Adolescent 10001028 (South Carolina)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Justin L Quattlebaum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Justin L Quattlebaum, PHD
6 Gadsden St, Apt. B,
Charleston, SC 29401-6207

Ph: (310) 890-9930
Dr Justin L Quattlebaum, PHD
109 Bee St,
Charleston, SC 29401-5703

Ph: (310) 890-9930

Reviews and Comments


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