Organization
TAMI V LEONHARDT PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMI V LEONHARDT PHD (OWNER)
(803) 791-1485
Entity
Organization
Contact information
Practice address
1904 SUNSET BLVD, SUITE D, WEST COLUMBIA, SC 29169-5953
(803) 791-1485
(803) 939-9378
Mailing address
1904 SUNSET BLVD, SUITE D, WEST COLUMBIA, SC 29169-5953
(803) 791-1485
(803) 939-9378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
560
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSO144
—
SC
Enumeration date
06/09/2008
Last updated
06/09/2008
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