Individual
EDWIN SELMAN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1720 MAIN ST, SUITE 101, COLUMBIA, SC 29201-2850
(803) 256-6863
Mailing address
1720 MAIN ST, SUITE 101, COLUMBIA, SC 29201-2850
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
340
SC
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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