Individual
DR. CHAMARLYN LEVELLE FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(706) 288-5574
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(706) 288-5574
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1040
SC
Other
Enumeration date
10/02/2006
Last updated
04/23/2020
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