Dispenza, Joseph Richard
Dispenza, Joseph Richard is an sole proprietor health care provider with primary practice located at 1092 Johnnie Dodds Blvd Ste. 1A, Mount Pleasant SC 29464-6109. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dispenza, Joseph Richard can be contacted via phone (843) 881-8805.Contact Information
Primary practice address
1092 Johnnie Dodds Blvd Ste. 1A
Mount Pleasant SC 29464-6109
Phone: (843) 881-8805
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 539 | South Carolina |
Profile Details
| NPI number | 1912965336 |
|---|---|
| LBN Legal business name | Dispenza, Joseph Richard |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912965336 | NPPES |
| South Carolina | MEDICAID | PSO189 |
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