Dr. Chacy Agnello, PsyD
Psychologist, Clinical in Greenville, SC. Individual provider (NPI-1).
NPI number1124635313
StatusActive
Last updated in NPPESSep 30, 2020
Details
- NPI
- 1124635313
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chacy Agnello
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2020
- Certification date
- Sep 30, 2020
- Last updated
- Sep 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1639 | SC | Yes |
Practice location
11 N Irvine St Ste 6Greenville, SC 29601-4902
Phone 864-671-1663
Mailing address
107 Stone Ave Apt IEasley, SC 29640-1353
Phone 805-712-1508
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