Tracy Redfearn Inc.

NPI 1265847255 - Psychologist - 103TB0200X

NPI Details
NPI 1265847255
Enumeration Date 06/27/2014
Last Updated 06/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TERESA TERESA
Position LICENSED PSYCHO EDUCATIONAL SPECIAL
Phone (843) 917-0495
Fax (843) 917-0495
Practice Location
702B W CAROLINA AVE
HARTSVILLE SC, 29550-4412, US
Phone (843) 917-0495
Fax (843) 917-0495
Business Location
702B W CAROLINA AVE
HARTSVILLE SC, 29550-4412, US
Phone (843) 917-0495
Fax (843) 917-0495
Toxanomy
Taxonomy Code 103TB0200X
License State South Carolina
License Number 4605
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According to our database, Tracy Redfearn Inc. NPI is 1265847255, taxonomy code is 103TB0200X and license number is 4605, license state is located at South Carolina. Tracy Redfearn Inc. physically located at 702b W Carolina Ave, Hartsville SC, 29550-4412. NPI Number 1033115704 has the healthcare provider type.

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1265847255 NPI number is provided on an as is basis without warranty of any kind. 1265847255 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Redfearn Inc. are for informational purposes only.