Individual
DR. LISA MARIE MCTEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
67 PRESIDENT STREET, ROOM 505B NORTH, MSC 861, CHARLESTON, SC 29425-5712
(843) 792-8274
Mailing address
67 PRESIDENT ST RM 505B, CHARLESTON, SC 29425-5712
(843) 792-8274
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8560
FL
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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