Organization
EAST COOPER PSYCHIATRIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO JOSE FERMO MD (MEDICAL DOCTOR/ PSYCHIATRIST)
(843) 478-8585
Entity
Organization
Contact information
Practice address
1073B JOHNNIE DODDS BLVD, SUITE 1 BUILDING F, MOUNT PLEASANT, SC 29464-3155
(843) 478-8585
Mailing address
1073B JOHNNIE DODDS BLVD, SUITE 1 BUILDING F, MOUNT PLEASANT, SC 29464-3155
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
18143
SC
103TP0016X
Prescribing (Medical) Psychologist
25547
SC
106H00000X
Marriage & Family Therapist
4478
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346312568
NPI
SC
01
—
1386752236
NPI
SC
01
—
1891892683
NPI
SC
Enumeration date
09/24/2009
Last updated
09/24/2009
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