Individual
JAMISON SCOTT BOTTOMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
67 PRESIDENT ST, MSC 861, 2ND FLOOR IOP SOUTH BLDG, CHARLESTON, SC 29425
(843) 792-8209
Mailing address
421 WAPPOO RD, CHARLESTON, SC 29407-6864
(714) 766-9827
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1771
SC
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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