Individual
DR. ALBERT GORDON TEICHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 W COLEMAN BLVD, MOUNT PLEASANT, SC 29464-3588
(843) 849-9913
(843) 881-6876
Mailing address
222 W COLEMAN BLVD, MOUNT PLEASANT, SC 29464-3588
(843) 849-9913
(843) 881-6876
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
800
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSO324
—
SC
Enumeration date
04/29/2006
Last updated
04/05/2013
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