Individual
DR. MELINDA DUMAS CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2800 ASHLAND RD., COLUMBIA, SC 29212
(803) 476-8500
(803) 476-8520
Mailing address
1020 DUTCH FORK RD., IRMO, SC 29063
(803) 476-8000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1104
SC
103TS0200X
School Psychologist
202529
SC
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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