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NPI Code Detail

MEDICARE: DR. STEVEN DAVIS GILLESPIE PH.D.

MEDICARE: DR. STEVEN DAVIS GILLESPIE PH.D.
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
1106H00000XMarriage & Family Therapist605TN
2106H00000XMarriage & Family Therapist1389SC

General Provider Information

NPI Number : 1871643643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN DAVIS GILLESPIE PH.D.
Provider Business Mailing Address
First Line : 7 PETTIGRU ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3028
Country : US
Telephone Number : 615-335-1269
Fax Number : 864-235-7503
Provider Business Practice Location Address
First Line : 7 PETTIGRU ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3028
Country : US
Telephone Number : 615-335-1269
Fax Number : 864-235-7503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 10/26/2015

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