Individual
DR. LARA SHEEHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2611 RIVER DR, COLUMBIA, SC 29201-1749
(803) 386-5449
Mailing address
104 SUNRISE AVE, COLUMBIA, SC 29205-3451
(803) 386-5449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1214
SC
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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