Individual
DR. LEWIS RANDOLPH WAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 W COLEMAN BLVD, MOUNT PLEASANT, SC 29464-3494
(843) 881-2778
(843) 881-6878
Mailing address
222 W COLEMAN BLVD, MOUNT PLEASANT, SC 29464-3494
(843) 881-2778
(843) 881-6878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
333
SC
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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