Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 101Y00000X | Counselor | | 20000162 | SOUTH CAROLINA | No |
2 | 103TB0200X | Psychologist | Cognitive & Behavioral | 20000162 | SOUTH CAROLINA | No |
3 | 103TC0700X | Psychologist | Clinical | 20000162 | SOUTH CAROLINA | No |
4 | 103TC1900X | Psychologist | Counseling | 20000162 | SOUTH CAROLINA | No |
5 | 103TC2200X | Psychologist | Clinical Child & Adolescent | 20000162 | SOUTH CAROLINA | No |
6 | 103TF0000X | Psychologist | Family | 20000162 | SOUTH CAROLINA | No |
7 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | 20000162 | SOUTH CAROLINA | No |
8 | 103TP2701X | Psychologist | Group Psychotherapy | 20000162 | SOUTH CAROLINA | No |
9 | 103TS0200X | Psychologist | School | 20000162 | SOUTH CAROLINA | No |
10 | 106H00000X | Marriage & Family Therapist | | 20000162 | SOUTH CAROLINA | No |
11 | 101YP2500X | Counselor | Professional | 20000162 | SOUTH CAROLINA | Yes |