Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 756 | SC |
Y | 103G00000X | Clinical Psychologist | 756 | SC |
Y | 103TC0700X | Clinical Psychologist | 756 | SC |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 756 | SC |
N | 103TH0100X | Health Service | 756 | SC |
NPI | 1215062823 |
---|---|
Provider Name | Dr. Adrian Novit |
First Address | Charleston, SC 29414-5678 |
Second Address | Charleston, SC 29414-5678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 17/03/2018 |