Individual
DR. MARY LARSON SVENDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2138 ASHLEY PHOSPHATE ROAD, SUITE 203, NORTH CHARLESTON, SC 29406
(843) 569-2904
(843) 863-0837
Mailing address
2138 ASHLEY PHOSPHATE ROAD, SUITE 203, NORTH CHARLESTON, SC 29406
(843) 569-2904
(843) 863-0837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
312
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0065
—
SC
Enumeration date
04/28/2006
Last updated
02/14/2019
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