Organization
THE UNUMB CENTER FOR NEURODEVELOPMENT
Active
Other names
Autism Academy of South Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
ANSLIE CALLAWAY PATRICK (EXECUTIVE DIRECTOR)
(803) 929-0011
Entity
Organization
Contact information
Practice address
1505 BLANDING ST, COLUMBIA, SC 29201-2906
(803) 929-0011
(803) 569-1054
Mailing address
1505 BLANDING ST, COLUMBIA, SC 29201-2906
(803) 929-0011
(803) 569-1054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1319
SC
235Z00000X
Speech-Language Pathologist
3640
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7205
—
SC
05
—
GP7206
—
SC
Enumeration date
02/03/2016
Last updated
02/12/2021
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