Healthcare Provider Details

I. General information

NPI: 1144389214
Provider Name (Legal Business Name): PSYCHOLOGY ASSOCIATES OF NH PLEASANT PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 JOHNNIE DODDS BLVD SUITE 14B
MT PLEASANT SC
29464
US

IV. Provider business mailing address

1041 JOHNNIE DODDS BLVD SUITE 14B
MT PLEASANT SC
29464
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-3888
  • Fax: 843-884-8124
Mailing address:
  • Phone: 843-884-3888
  • Fax: 843-884-8124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number313
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number674
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number325
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number296
License Number StateSC

VIII. Authorized Official

Name: DR. ARTHUR WILLIAM ROSS
Title or Position: PRESIDENT
Credential: PHD
Phone: 843-884-3888