Individual
DR. WILLIAM EDWARD HAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1036 KINLEY RD, IRMO, SC 29063-9632
(803) 407-7099
(803) 407-7259
Mailing address
1036 KINLEY RD, IRMO, SC 29063-9632
(803) 407-7099
(803) 407-7259
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
654
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0285
—
SC
Enumeration date
07/17/2006
Last updated
07/08/2007
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