DR. Vernell Kennedy Fogle, PH.D.
NPI #1063411452 in Columbia, South Carolina
Provider Information
- NPI Number
- 1063411452
- Entity Type
- Individual
- Name
- DR. Vernell Kennedy Fogle, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Nov 30, 2012
Practice Location
- Address
- 1107 BELLEVIEW ST
- Address 2
- SUITE 102
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29201-1810
- Phone
- (803) 381-3171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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