Organization
WELLSPRING PSYCHOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DEAN ANDERSON PSYD (PARTNER)
(812) 797-7069
Entity
Organization
Contact information
Practice address
1340 CELEBRATION BLVD, UNIT A, FLORENCE, SC 29501-5585
(843) 536-1180
(843) 536-1116
Mailing address
1340 CELEBRATION BLVD, UNIT A, FLORENCE, SC 29501-5585
(843) 536-1180
(843) 536-1116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1073
SC
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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