COASTAL PEDIATRIC ASSOCIATES, P.A. is a health service psychologist in Charleston, SC. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). COASTAL PEDIATRIC ASSOCIATES, P.A. NPI is 1083110019. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2051 CHARLIE HALL BLVD
CHARLESTON, SC
ZIP 29414-834
Phone: (843) 737-9467
Fax: (843) 371-5507
The provider's authorized official is Dana Wolf .
The authorized official title is Director Of Quality Programs and has the following contact phone number (843) 284-4258.
The CLIA number assigned to this NPI record is 42D2155772 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/30/2018 and was last updated on 3/30/2018.