Individual
JEFFREY EARL MUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6439 GARNERS FERRY ROAD, DORN VA MEDICAL CENTER, COLUMBIA, SC 29209
(803) 776-4000
Mailing address
6439 GARNERS FERRY ROAD, DORN VA MEDICAL CENTER, COLUMBIA, SC 29209
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
790
SC
103TF0200X
Forensic Psychologist
790
SC
Other
Enumeration date
07/14/2015
Last updated
10/14/2015
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