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Organization

MICHELS PSYCHOLOGICAL SERVICES

Active
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Organization

MICHELS PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP JOHN MICHELS PH.D. (CLINICAL PSYCHOLOGIST)
(803) 237-4239
Entity
Organization

Contact information

Practice address
9890 WINDSOR LAKE BLVD, COLUMBIA, SC 29223-2028
(803) 736-2199
(803) 796-2199
Mailing address
9890 WINDSOR LAKE BLVD, COLUMBIA, SC 29223-2028
(803) 736-2199
(803) 796-2199

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
282
SC

Other

Enumeration date
01/28/2009
Last updated
01/28/2009
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