King, Sally

King, Sally is an individual health care provider with primary practice located at 1898 Calhoun St Unit # 5, Columbia SC 29201-2612. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. King, Sally can be contacted via phone (803) 252-5300.

Contact Information

Primary practice address
1898 Calhoun St Unit # 5 Columbia SC 29201-2612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 217 South Carolina

Profile Details

NPI number 1265531966
LBN Legal business name King, Sally
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265531966 NPPES
South Carolina MEDICAID PS0075
South Carolina Other 217

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