Defelice, Allison Foster
Defelice, Allison Foster is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 103, Columbia SC 29203-8003. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Defelice, Allison Foster can be contacted via phone (803) 434-4300.Contact Information
Primary practice address
15 Medical Park Rd Suite 103
Columbia SC 29203-8003
Phone: (803) 434-4300
Fax: (803) 434-4277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 684 | South Carolina |
Profile Details
NPI number | 1306807573 |
---|---|
LBN Legal business name | Defelice, Allison Foster |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2006 |
Last updated | Dec 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306807573 | NPPES |
South Carolina | MEDICAID | PS0301 |
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