Organization
GRAND STRAND PSYCHOLOGICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD GOLDSCHMIDT J.D., PSY.D. (PRESIDENT)
(843) 294-4500
Entity
Organization
Contact information
Practice address
4882 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 294-4500
(843) 294-4503
Mailing address
4882 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 294-4500
(843) 294-4503
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
SC845
SC
Other
Enumeration date
05/03/2007
Last updated
11/08/2007
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