Individual
DR. EMILY LAUREN TILSTRA-FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-3834
(843) 792-1414
Mailing address
67 PRESIDENT ST, CHARLESTON, SC 29425-5712
(843) 792-8209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1858
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
05/24/2024
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