MEDICARE: DR. DORIS PAEZ PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	773	SC

General Provider Information

NPI Number	:	1285192120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORIS PAEZ PHD

Provider Business Mailing Address
First Line	:	240 BLAKE ST
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27104-3502
Country	:	US
Telephone Number	:	336-971-7685
Fax Number	:

Provider Business Practice Location Address
First Line	:	1024 WILDWOOD CENTRE DR STE A
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29229-8400
Country	:	US
Telephone Number	:	803-781-4265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2019
Last Update Date	:	03/11/2019

Similar Medicare Providers

1366099459 — OLUWATOYIN OKEI MSE, PH.D, NCC, LPC
Practice Location Address:

1024 WILDWOOD CENTRE DR STE A
COLUMBIA, SC
29229-8400

Practice Phone: 803-781-4265
Practice Fax: 803-781-7300

1386679009 — SOUTHEASTERN MEDICAL SUPPLY INC
Practice Location Address:

1024 WILDWOOD CENTRE DR , SUITE A
COLUMBIA, SC
29229-8400

Practice Phone: 803-233-3691
Practice Fax: 803-233-6140

1912459355 — MRS. DANIELLE DUPREE GREEN OT
Practice Location Address:

130 FORUM DR STE 13
COLUMBIA, SC
29229-7943

Practice Phone: 803-509-6880
Practice Fax:

1073182945 — DEANNA ROCK LCMHC, LPC
Practice Location Address:

604 TIMBER CREST DR
COLUMBIA, SC
29229-9211

Practice Phone: 803-920-1505
Practice Fax:

1457022295 — AMANDA LASHAUN WESLEY LPCA
Practice Location Address:

103 OAK COVE DR
COLUMBIA, SC
29229-7513

Practice Phone: 912-581-5695
Practice Fax:

1801750476 — GENTLE JOURNEY & CO LLC
Practice Location Address:

300 LONG POINTE LN # 220K
COLUMBIA, SC
29229-7543

Practice Phone: 803-250-1249
Practice Fax:

Directions to “ DR. DORIS PAEZ PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.