Individual
DR. MOSHE MARK DOUGLAS WEXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-3324
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1445
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0633
—
SC
Enumeration date
04/05/2006
Last updated
06/20/2024
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