Individual
DR. ELIZABETH MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1898 CALHOUN ST #8, COLUMBIA, SC 29201
(803) 256-9700
(803) 256-2519
Mailing address
1898 CALHOUN ST #8, COLUMBIA, SC 29201
(803) 256-9700
(803) 256-2519
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
62
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0076
—
SC
Enumeration date
05/17/2006
Last updated
07/08/2007
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