Individual
SUSAN STEVENS PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10 PINCKNEY COLONY ROAD, BLDG 300, BLUFFTON, SC 29909-4126
(843) 422-5504
(843) 815-8573
Mailing address
10 PINCKNEY COLONY RD, BUILDING 300, SUITE 303, BLUFFTON, SC 29909-4126
(843) 815-8588
(843) 815-8573
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1090
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0456
—
SC
Enumeration date
11/20/2008
Last updated
11/21/2017
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