Individual
DR. MICHAEL ROBERT NEBOSCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
ONE CARRIAGE LANE, BLDG. J, CHARLESTON, SC 29407
(843) 773-5050
(843) 573-5030
Mailing address
ONE CARRIAGE LANE, BLDG. J, ASHLEY THERAPY ASSOCIATES, CHARLESTON, SC 29407
(843) 773-5050
(843) 573-5030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000833
VALUE OPTIONS
SC
01
—
100029454001
AMERICAN PSYCH SYSTEMS
SC
01
—
4140516
AETNA
SC
01
—
49402
CIGNABEHAVIORAL HEALTH
SC
Enumeration date
10/16/2006
Last updated
01/30/2008
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