Dr. Paul Wade, PsyD
Counselor, Professional in Columbia, SC. Individual provider (NPI-1).
NPI number1013432004
StatusActive
Last updated in NPPESAug 10, 2017
Details
- NPI
- 1013432004
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Wade
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2017
- Last updated
- Aug 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6450 | SC | Yes |
Practice location
1107 Belleview StColumbia, SC 29201-1810
Phone 803-445-5211
Mailing address
344 Clearview DrColumbia, SC 29212-8310
Phone 803-445-5211
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