Individual
DR. TORA L BRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15 MEDICAL PARK RD, SUITE 103, COLUMBIA, SC 29203-8003
(803) 434-4300
(803) 434-4277
Mailing address
15 MEDICAL PARK RD, SUITE 103, COLUMBIA, SC 29203-8003
(803) 434-4300
(803) 434-4277
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
752
SC
103TF0200X
Forensic Psychologist
Primary
752
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0311
—
SC
Enumeration date
03/28/2006
Last updated
12/02/2008
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