Individual
DR. LOIS PALL WANDERSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1512 LAUREL ST, COLUMBIA, SC 29201-2623
(803) 252-5455
(803) 252-5455
Mailing address
1512 LAUREL ST, COLUMBIA, SC 29201-2623
(803) 252-5455
(803) 252-5455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
388
SC
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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