Individual provider · Type 1 NPI

Allison Marie Deatherage, PhD

Clinical Psychologist · Charleston Afb, SC

NPI number 1659585099 Active

Practice location

204 W Hill Blvd
Charleston Afb, SC 29404-4704

Mailing address

PO Box 21467
Columbus, OH 43221-0467

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X7351 (OH)

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 1659585099

Allison Marie Deatherage, PhD's National Provider Identifier is 1659585099, issued on May 9, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charleston Afb, SC. The record was last updated on Nov 20, 2020.