Dr. Leo John Draham, Psy.D.
Psychologist, Clinical in Columbia, SC. Individual provider (NPI-1).
NPI number1801366174
StatusActive
Last updated in NPPESNov 29, 2018
Details
- NPI
- 1801366174
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leo John Draham
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2018
- Last updated
- Nov 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1538 | SC | Yes |
Practice location
115 Atrium Way Ste 221Columbia, SC 29223-6383
Phone 803-699-8887
Mailing address
215 Ravenel StColumbia, SC 29205-2762
Phone 610-955-5823
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