NPI 1043620651

Shantel Edmonds

Practitioner Clinical Psychologist Columbia, SC

Practice location

Address: 6439 Garners Ferry Rd Route 116, Columbia, SC 29209-1638
Phone: (803) 776-4000
Mailing address: 6439 Garners Ferry Rd, Columbia, SC 29209-1638

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810004978 (VA)

Other Psychologist providers in South Carolina →

Registry record

NPI: 1043620651
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2014
Record last updated: 28 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.