Organization · Type 2 NPI

Lake Psychological Services, LLC

Clinical Psychologist · Columbia, SC

NPI number 1578986923 Active

Practice location

115 Atrium Way, Suite 221
Columbia, SC 29223-6383

Fax (803) 699-8824

Mailing address

PO Box 707
Blythewood, SC 29016-0707

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X690 (SC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1578986923

Lake Psychological Services, LLC's National Provider Identifier is 1578986923, issued on Jan 21, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Columbia, SC. The record was last updated on Jan 23, 2014.