Individual
MARISA LYNN NAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
260-C SEVEN FARMS DR., DANIEL ISLAND, SC 29492
(843) 216-2968
Mailing address
260-C SEVEN FARMS. DR., DANIEL ISLAND, SC 29492
(843) 216-2968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
959
SC
Other
Enumeration date
10/03/2006
Last updated
01/20/2016
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