Organization
ICHEP,LLC
Active
Other names
International Consultant for Health and Educational Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKA ABDUL MOUSTAFA I PH.D (CEO)
(803) 477-7928
Entity
Organization
Contact information
Practice address
3555 HARDEN STREET EXT, EXT., SUITE B18, COLUMBIA, SC 29203-6894
(803) 477-7928
Mailing address
108 CAUGHMAN RIDGE RD, COLUMBIA, SC 29208-0001
(803) 477-7928
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
20083300132079
SC
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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