Organization
SALLY KING, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY KING PH.D. (PRESIDENT)
(803) 252-5300
Entity
Organization
Contact information
Practice address
1898 CALHOUN ST, UNIT # 5, COLUMBIA, SC 29201-2612
(803) 252-5300
Mailing address
1898 CALHOUN ST, UNIT # 5, COLUMBIA, SC 29201-2612
(803) 252-5300
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
SC 217
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0075
—
SC
Enumeration date
02/13/2007
Last updated
08/22/2020
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