Organization · NPI-2
Dr. Michael Neboschick
Community/Behavioral Health · Charleston, SC
NPI number1457522658
StatusActive
Last updated in NPPESMar 14, 2008
Details
- NPI
- 1457522658
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Michael Neboschick
- Organization subpart
- No
- Enumeration date
- Mar 14, 2008
- Last updated
- Mar 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 328 | SC | Yes |
| 261QH0100X | Clinic/Center, Health Services | 328 | SC |
Practice location
838 Paran Oaks DrCharleston, SC 29414-9046
Phone 843-852-9016 · Fax 843-763-7246
Mailing address
838 Paran Oaks DrCharleston, SC 29414-9046
Phone 843-852-9016 · Fax 843-763-7246
Authorized official
Michael Robert Neboschick
Licensed Psychologist
8438529016
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