# DENA MCKEOWN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770782799
- **Authorized official:** MISS DENA K MCKEOWN ED.S., M.S. (PSYCHO-EDUCATIONAL SPECIALIST)
- **Authorized official phone:** (803) 254-9767

## Contact information

- **Practice address:** 1903 GADSDEN ST STE 204, COLUMBIA, SC 29201-2352
- **Practice address phone:** (803) 254-9767
- **Practice address fax:** (803) 254-9740
- **Mailing address:** 1903 GADSDEN ST STE 204, COLUMBIA, SC 29201-2352
- **Mailing address phone:** (803) 254-9767
- **Mailing address fax:** (803) 254-9740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 4563 | SC | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 07/11/2007
