Individual
CHARLES DAVID TOLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
220 ROPER MTN RD EXT, GREENVILLE, SC 29615
(864) 295-6399
(864) 295-2337
Mailing address
1330 BOILING SPRINGS ROAD, SUITE 2700, SPARTANBURG, SC 29303
(864) 583-0053
(864) 583-0390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
293
SC
Other
Enumeration date
07/26/2006
Last updated
11/30/2007
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