Individual
MRS. EMMA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP, NCSP, LPES
Contact information
Practice address
57 SEXTANT PL, PAWLEYS ISLAND, SC 29585-7060
(843) 325-7317
Mailing address
57 SEXTANT PL, PAWLEYS ISLAND, SC 29585-7060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4670
SC
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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