NPI 1962028100 · live from the CMS NPI Registry
Heather Adame, PhD
Psychologist, Health Service in Charleston, SC. National Provider Identifier 1962028100, active.
NPI record
| NPI | 1962028100 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Health Service 103TH0100X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-1414 |
| Mailing address | 1001 Blythe Blvd, Charlotte, NC 28203 |
| Enumerated | June 23, 2020 |
| Last updated | April 6, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Counselor, Professional | 101YP2500X | LPC.0015054 (CO) |
| Psychologist, Health Service primary | 103TH0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.