Individual
PAUL S WACHOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
67 PRESIDENT ST, SUITE 104-SOUTH, CHARLESTON, SC 29425-5712
(843) 792-0696
Mailing address
67 PRESIDENT ST, SUITE 104-SOUTH, CHARLESTON, SC 29425-5712
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
04/26/2011
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