Individual
JERODNEY SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1620 SHIVERS RD, BUILDING 1018, COLUMBIA, SC 29210-5429
(803) 896-7544
Mailing address
PO BOX 21069, COLUMBIA, SC 29221-1069
(803) 896-7544
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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