| The Unumb Center For Neurodevelopment | |
|
1505 Blanding St Columbia SC 29201-2906 | |
| (803) 929-0011 | |
| (803) 569-1054 |
| Full Name | The Unumb Center For Neurodevelopment |
|---|---|
| Speciality | Psychologist |
| Location | 1505 Blanding St, Columbia, South Carolina |
| Authorized Official Name and Position | Anslie Callaway Patrick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8039290011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Unumb Center For Neurodevelopment 1505 Blanding St Columbia SC 29201-2906 Ph: (803) 929-0011 | The Unumb Center For Neurodevelopment 1505 Blanding St Columbia SC 29201-2906 Ph: (803) 929-0011 |
| NPI Number | 1023476280 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 02/12/2021 |
| Certification Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023476280 | NPI | - | NPPES |
| GP7205 | Medicaid | SC | |
| GP7206 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1319 (South Carolina) | Primary |
| 235Z00000X | Speech-language Pathologist | 3640 (South Carolina) | Secondary |
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