Individual
SAMANTHA HORSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ABPP
Contact information
Practice address
3208 BROAD RIVER RD, COLUMBIA, SC 29210-5427
(803) 896-6448
Mailing address
PO BOX 803, STATE PARK, SC 29147-0803
(803) 896-6448
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1182
SC
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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