Individual
DR. PHILIP J MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(804) 434-6113
(803) 434-7529
Mailing address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6113
(803) 434-7529
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
282
SC
103TC1900X
Counseling Psychologist
282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0158
—
SC
Enumeration date
02/24/2006
Last updated
10/02/2008
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