Whalio Doctors

NPI 1174686356

Shawna Blake Kirby, PHD

Practitioner Clinical Neuropsychologist West Columbia, SC

Practice location

Address
1505 Charleston Hwy # 1523, West Columbia, SC 29169-5069
Phone
(803) 497-3640
Fax
(888) 352-7678

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1251 (SC)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1251 (SC)

Registry record

NPI
1174686356
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Dec 2006
Record last updated
28 Feb 2024

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.