Individual
MEREDITH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 FOREST DR, COLUMBIA, SC 29204-4010
(803) 790-8208
Mailing address
3700 FOREST DR, COLUMBIA, SC 29204-4010
(803) 790-8208
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3783
NC
Other
Enumeration date
07/08/2009
Last updated
08/24/2010
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