Organization
PSYCHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS JOE NEELY PHD (PRESIDENT)
(843) 667-4432
Entity
Organization
Contact information
Practice address
605 WEST EVANS STREET, FLORENCE, SC 29501
(843) 667-4432
(843) 665-9282
Mailing address
605 WEST EVANS STREET, FLORENCE, SC 29501
(843) 667-4432
(843) 665-9282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
356
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0290
—
SC
Enumeration date
12/13/2006
Last updated
08/22/2020
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