Individual
MARY ELIZABETH EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1721 SHIVERS RD, COLUMBIA, SC 29210-5413
(803) 896-8036
(803) 896-7451
Mailing address
1721 SHIVERS RD, COLUMBIA, SC 29210-5413
(803) 896-8036
(803) 896-7451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
12/14/2012
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