Individual
DR. DAPHNE JANE TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
114 ASHLEY AVE, CHARLESTON, SC 29401-1249
(843) 805-8001
(843) 805-8070
Mailing address
114 ASHLEY AVE, CHARLESTON, SC 29401-1249
(843) 805-8001
(843) 805-8070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1283
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04708
BCBS OF NC
NC
01
—
1001633164002
UNITED HEALTHCARE
NC
01
—
1633164
UNITED BEHAVIORAL HEALTH
NC
05
—
6000262
—
NC
05
—
PS0454
—
SC
Enumeration date
06/06/2006
Last updated
02/04/2015
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