Individual
DR. HEIDAR A. MODARESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3060 WIMBLEDON LN, ROCK HILL, SC 29732-9249
(803) 366-9791
(803) 753-9522
Mailing address
3060 WIMBLEDON LN, ROCK HILL, SC 29732-9249
(803) 366-9791
(803) 753-9522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0575
SC
101YM0800X
Mental Health Counselor
1973
NC
103T00000X
Psychologist
0575
SC
103T00000X
Psychologist
1973
NC
103TB0200X
Cognitive & Behavioral Psychologist
0575
SC
103TB0200X
Cognitive & Behavioral Psychologist
1973
NC
103TC0700X
Clinical Psychologist
Primary
0575
SC
103TC0700X
Clinical Psychologist
1973
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0221
—
SC
Enumeration date
05/18/2006
Last updated
09/02/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us