Jonathan Murdaugh

NPI #1275923484 in Fairfax, South Carolina

Provider Information

NPI Number: 1275923484
Entity Type: Individual
Name: Jonathan Murdaugh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Enumeration Date: Jan 26, 2015
Last Updated: Jan 28, 2015

Practice Location

Address: 1040 TINKER TOWN RD
City: Fairfax
State: South Carolina
ZIP Code: 29827-7220
Phone: (803) 686-0412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary
Counselor	101Y00000X
Psychologist	103T00000X
Psychologist - Rehabilitation — Rehabilitation	103TR0400X

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