Individual
TASHA BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., LPES
Contact information
Practice address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 402-7816
Mailing address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 402-7816
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4630
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588615918
—
SC
Enumeration date
12/02/2014
Last updated
12/02/2014
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