Organization
THE PALMETTO CENTER FOR PSYCHOLOGICAL ASSESSMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A NICHOLAS DEPACE PH,D. (SOLE PROPRIETOR)
(803) 358-9410
Entity
Organization
Contact information
Practice address
123 LIBRARY HILL LN, SUITE B, LEXINGTON, SC 29072-3895
(803) 358-9410
(803) 358-9409
Mailing address
PO BOX 1438, LEXINGTON, SC 29071-1438
(803) 358-9410
(803) 358-9409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
828
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0354
—
SC
Enumeration date
11/16/2011
Last updated
11/16/2011
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