Individual
A. NICHOLAS DEPACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
123 LIBRARY HILL LN, SUITE B, LEXINGTON, SC 29072-3895
(803) 358-9410
(803) 358-9409
Mailing address
P. O. BOX 1438, LEXINGTON, SC 29071
(803) 358-9410
(803) 358-9409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
828
SC
Other
Enumeration date
01/16/2007
Last updated
08/11/2011
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