Individual
DR. JOSEPH RICHARD DISPENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1092 JOHNNIE DODDS BLVD, STE. 1A, MOUNT PLEASANT, SC 29464-6109
(843) 881-8805
Mailing address
1111 INLET COVE CT, MOUNT PLEASANT, SC 29464-4214
(843) 881-8805
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
539
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSO189
—
SC
Enumeration date
05/03/2006
Last updated
07/08/2007
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