Organization
PSYCHOLOGY SERVICES CENTER
Active
Other names
University of South Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE BURNETTE PH.D. (DIRECTOR)
(803) 734-0378
Entity
Organization
Contact information
Practice address
2221 DEVINE ST, SUITE 100, COLUMBIA, SC 29205-2418
(803) 734-0378
(803) 734-0379
Mailing address
2221 DEVINE ST, SUITE 100, COLUMBIA, SC 29205-2418
(803) 734-0378
(803) 734-0379
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
SC
103TS0200X
School Psychologist
—
SC
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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