Organization
DRIFTWOOD EVALUATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW PRESTON PHD (CLINICAL DIRECTOR)
(843) 376-3112
Entity
Organization
Contact information
Practice address
1815 BACONS BRIDGE RD APT B12, SUMMERVILLE, SC 29485-3258
(843) 209-7832
Mailing address
10070 DORCHESTER RD UNIT 50017, SUMMERVILLE, SC 29485-2507
(843) 376-3112
(843) 594-0110
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP1002
—
SC
05
—
PG0662
—
SC
Enumeration date
10/20/2021
Last updated
01/02/2023
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