Organization
DR. MICHAEL NEBOSCHICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT NEBOSCHICK PHD (LICENSED PSYCHOLOGIST)
(843) 852-9016
Entity
Organization
Contact information
Practice address
838 PARAN OAKS DR, CHARLESTON, SC 29414-9046
(843) 852-9016
(843) 763-7246
Mailing address
838 PARAN OAKS DR, CHARLESTON, SC 29414-9046
(843) 852-9016
(843) 763-7246
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
328
SC
261QH0100X
Health Service Clinic/Center
328
SC
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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