Vernell Kennedy Fogle PH.D.

NPI 1063411452 - Psychologist - 103TC0700X

NPI Details
NPI 1063411452
Gender Female
Enumeration Date 07/18/2005
Last Updated 11/30/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1107 BELLEVIEW ST
SUITE 102
COLUMBIA SC, 29201-1810, US
Phone (803) 381-3171
Fax (803) 312-9983
Business Location
1214 ANTHONY AVE
COLUMBIA SC, 29201-1702, US
Phone (803) 255-0852
Fax (803) 312-9983
Toxanomy
Taxonomy Code 103TC0700X
License State South Carolina
License Number 747
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According to our database, Dr. Vernell Kennedy Fogle PH.D. NPI is 1063411452, taxonomy code is 103TC0700X and license number is 747, license state is located at South Carolina. Vernell Kennedy Fogle PH.D. physically located at 1107 Belleview St, Columbia SC, 29201-1810. NPI Number Vernell Kennedy Fogle PH.D. has the Individual type.

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1063411452 NPI number is provided on an as is basis without warranty of any kind. 1063411452 is maintained by the National Plan & Provider Enumeration System. The contents of Vernell Kennedy Fogle PH.D. are for informational purposes only.