Individual
LEANNE E BISHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4575 STUART ST, COLUMBIA, SC 29207-5700
(803) 318-4581
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008314
VA
Other
Enumeration date
07/20/2021
Last updated
01/14/2026
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