Individual
DR. WILLIAM HARRISON MELLICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1542
SC
103TB0200X
Cognitive & Behavioral Psychologist
1542
SC
103TC0700X
Clinical Psychologist
Primary
1542
SC
103TC2200X
Clinical Child & Adolescent Psychologist
1542
SC
103TF0000X
Family Psychologist
1542
SC
Other
Enumeration date
08/23/2022
Last updated
09/09/2025
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