Organization · NPI-2
Aiken Psychotherapy
Clinical Nurse Specialist · Aiken, SC
NPI number1659543262
StatusActive
Last updated in NPPESMay 15, 2008
Details
- NPI
- 1659543262
- Entity type
- Organization (NPI-2)
- Legal business name
- Aiken Psychotherapy
- Organization subpart
- No
- Enumeration date
- Mar 25, 2008
- Last updated
- May 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | APN567 | SC | Yes |
| 251S00000X | Community/Behavioral Health | APN567 | SC |
Practice location
33 Varden DrAiken, SC 29803-5285
Phone 803-642-3801 · Fax 803-642-5538
Mailing address
Po Box 733733varden Drive
Aiken, SC 29804-7337
Phone 803-642-3801 · Fax 803-642-5538
Authorized official
Michele J Knapik-Smith
President
8036423801
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