Nicholas Bagnell, PsyD
Psychologist, Clinical in Columbia, SC. Individual provider (NPI-1).
NPI number1497074934
StatusActive
Last updated in NPPESOct 17, 2023
Details
- NPI
- 1497074934
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Bagnell
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2010
- Certification date
- Oct 17, 2023
- Last updated
- Oct 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1548 | SC | Yes |
Practice location
1331 Elmwood Ave Ste 300bColumbia, SC 29201-2150
Phone 803-250-5109
Mailing address
1331 Elmwood Ave Ste 300bColumbia, SC 29201-2150
Phone 803-250-5109
Other practice locations
2100 Napa Vallejo Hwy
Napa, CA 94558-6293
Napa, CA 94558-6293
Phone 707-253-5000
6024 Robinwood Rd
Columbia, SC 29206-4358
Columbia, SC 29206-4358
Phone 803-250-5109
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