Shantel Edmonds
NPI #1043620651 in Columbia, South Carolina
Provider Information
- NPI Number
- 1043620651
- Entity Type
- Individual
- Name
- Shantel Edmonds
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 5, 2014
- Last Updated
- Jun 28, 2015
Practice Location
- Address
- 6439 GARNERS FERRY RD
- Address 2
- ROUTE 116
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29209-1638
- Phone
- (803) 776-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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