IndividualActive
Ana Diaz-Lepage, PHD
NPI 1003538349 · Clinical Child & Adolescent Psychologist · Charleston, SC
Provider details
- NPI number
- 1003538349
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- B1-0011350 (DE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
135 Rutledge Ave
Charleston, SC 29425-8903
Phone: (843) 876-0444
Approximate (ZIP-level) locationGet directions
Mailing address
2503 Birds Key Rd
Johns Island, SC 29455-8032
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.