Individual provider · Type 1 NPI
Heidar A. Modaresi, PhD
Clinical Psychologist · Rock Hill, SC
Practice location
3060 Wimbledon Ln
Rock Hill, SC 29732-9249
Fax (803) 753-9522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 1973 (NC) |
| Mental Health Counselor | 101YM0800X | 0575 (SC) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 0575 (SC) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 1973 (NC) |
| Clinical Psychologist Primary | 103TC0700X | 0575 (SC) |
| Clinical Psychologist | 103TC0700X | 1973 (NC) |
| Psychologist | 103T00000X | 0575 (SC) |
| Psychologist | 103T00000X | 1973 (NC) |
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 1619920980
Heidar A. Modaresi, PhD's National Provider Identifier is 1619920980, issued on May 18, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Rock Hill, SC. The record was last updated on Sep 2, 2010.