Individual
DR. CORA EZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
523 LIVE OAK DR, MT PLEASANT, SC 29464-4365
(843) 971-8804
(843) 971-8805
Mailing address
523 LIVE OAK DR, MT PLEASANT, SC 29464-4365
(843) 971-8804
(843) 971-8805
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
726
SC
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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