Individual
DR. KATHLEEN GAY BROUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2 WHARFSIDE ST, 3F, CHARLESTON, SC 29401-1652
(843) 270-7988
(843) 723-0659
Mailing address
2 WHARFSIDE ST, 3-F, CHARLESTON, SC 29401-1652
(843) 270-7988
(843) 723-0659
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
501
SC
103TC0700X
Clinical Psychologist
548
TN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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