OrganizationActive
Spectrum, Therapy, Assessment, Rehabilitation
NPI 1508031006 · Intellectual & Developmental Disabilities Psychologist · Summerville, SC
Provider details
- NPI number
- 1508031006
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Zahra Hajiaghamohseni, Behavior Analyst(843) 532-8349
- License
- 2008-071908 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
246 Carolinian Dr
Summerville, SC 29485-7854
Phone: (949) 322-6316
Approximate (ZIP-level) locationGet directions
Mailing address
246 Carolinian Dr
Summerville, SC 29485-7854
Registry dates
- Enumerated
- 2008-04-25
- Last updated
- 2008-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.