OrganizationActive
Coastal Pediatric Associates, P.A.
NPI 1083110019 · Health Service Psychologist · Charleston, SC
Provider details
- NPI number
- 1083110019
- Entity type
- Organization
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dana Wolf, Director of Quality Programs(843) 284-4258
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2051 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone: (843) 737-9467
Fax: (843) 371-5507
Approximate (ZIP-level) locationGet directions
Mailing address
2051 Charlie Hall Blvd
Charleston, SC 29414-5834
Registry dates
- Enumerated
- 2018-03-30
- Last updated
- 2018-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.