Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 352 | SC |
Y | 103TC0700X | Clinical Psychologist | 352 | SC |
NPI | 1003076357 |
---|---|
Provider Name | Dr. Barbara H. Hartt |
First Address | Columbia, SC 29212-2016 |
Second Address | Columbia, SC 29201-2522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 11/06/2008 |