Individual
NICHOLAS BAGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1331 ELMWOOD AVE STE 300B, COLUMBIA, SC 29201-2150
(803) 250-5109
Mailing address
1331 ELMWOOD AVE STE 300B, COLUMBIA, SC 29201-2150
(803) 250-5109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1548
SC
Other
Enumeration date
05/24/2010
Last updated
10/17/2023
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