List, Frederick P

List, Frederick P is an individual health care provider with primary practice located at 200 Patewood Dr Suite A200, Greenville SC 29615-3593. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. List, Frederick P can be contacted via phone (864) 454-5115.

Contact Information

Primary practice address
200 Patewood Dr Suite A200 Greenville SC 29615-3593
Phone: (864) 454-5115
Fax: (864) 454-5146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1086 South Carolina

Profile Details

NPI number 1740396886
LBN Legal business name List, Frederick P
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 28th, 2018 - about 6 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 1740396886 NPPES
North Carolina Other 1305N BLUE CROSS/BLUE SHIELD
North Carolina MEDICAID 60-00266 BLUE CROSS/BLUE SHIELD

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