Individual
DR. JACQUELINE OLTHOFF NAEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6795
PSYCHOLOGY LICENSE NUMBER
OH
Enumeration date
06/17/2011
Last updated
08/29/2018
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