Organization
CAROLINA PSYCHOLOGICAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA S GRISWOLD PH.D. (OWNER)
(803) 252-4935
Entity
Organization
Contact information
Practice address
1620 LADY ST, SUITE A, COLUMBIA, SC 29201-3404
(803) 252-4935
(803) 252-7658
Mailing address
703 KAWANA RD, COLUMBIA, SC 29205-2030
(803) 254-0782
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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