Individual
SALLY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1898 CALHOUN ST, UNIT # 5, COLUMBIA, SC 29201-2612
(803) 252-5300
Mailing address
1898 CALHOUN ST, UNIT # 5, COLUMBIA, SC 29201-2612
(803) 252-5300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
217
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217
PSYCHOLOGIST LICENSE
SC
05
—
PS0075
—
SC
Enumeration date
09/21/2006
Last updated
07/09/2007
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