Individual
DR. BRANDON LARS ROBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6000 GARNERS FERRY RD STE 12, COLUMBIA, SC 29209-1303
(803) 708-7095
Mailing address
6000 GARNERS FERRY RD STE 12, COLUMBIA, SC 29209-1303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1457
SC
Other
Enumeration date
09/08/2017
Last updated
04/02/2023
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