Organization
CHARLESTON NEUROPSYCHOLOGY LLC
Active
Organization
CHARLESTON NEUROPSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT GORDON TEICHNER PH.D. (OWNER)
(843) 849-9913
Entity
Organization
Contact information
Practice address
1459 STUART ENGALS BLVD.,, SUITE 204A, MOUNT PLEASANT, SC 29464
(843) 849-9913
(843) 881-6878
Mailing address
1459 STUART ENGALS BLVD.,, SUITE 204A, MOUNT PLEASANT, SC 29464
(843) 849-9913
(843) 881-6878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
800
SC
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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