Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 250122 | SC |
NPI | 1023454857 |
---|---|
Provider Name | Meaghan Gay |
First Address | Fort Mill, SC 29715-6941 |
Second Address | Fort Mill, SC 29715-6941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2013 |
Last Update Date | 20/05/2013 |