Individual
NATALIE M FADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. LLC
Contact information
Practice address
152 MAGNOLIA ST, SPARTANBURG, SC 29306-2316
(864) 978-5383
(864) 591-3001
Mailing address
152 MAGNOLIA ST, SPARTANBURG, SC 29306-2316
(864) 978-5383
(864) 591-3001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1248
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0546
—
SC
Enumeration date
04/15/2014
Last updated
11/18/2014
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