Organization
BEHAVIORAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HOWARD WAY PH.D. (CLINICAL PSYCHOLOGIST)
(843) 509-6819
Entity
Organization
Contact information
Practice address
108 STAGECOACH LN, ORANGEBURG, SC 29118-2499
(843) 509-6819
(803) 496-7237
Mailing address
PO BOX 1481, HOLLY HILL, SC 29059-1481
(843) 509-6819
(803) 496-7237
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
447
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0082
—
SC
Enumeration date
04/24/2012
Last updated
04/24/2012
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