DR. LIVY FOGLE EBERLY


Address: 48 Courtenay Dr, Charleston, SC 29403-5707
Phone: 8438533005

DR. LIVY FOGLE EBERLY (NPI# 1417132150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417132150
Entity Type Individual
Full Name DR. LIVY FOGLE EBERLY
Credential PH.D.
Practice Address 48 Courtenay Dr
Charleston
SC 29403-5707
Practice Telephone 8438533005
Mailing Telephone 8438533005
Enumeration Date 2007-12-31
Last Update Date 2007-12-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
995 SC Behavioral Health & Social Service Providers

Office Location

Street Address 48 COURTENAY DR
City CHARLESTON
State SC
Zip Code 29403-5707

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275074635 Maiden Nelson Psychologist 686 Fort Sumter Dr, Charleston, SC 29412-4336 2017-03-17
1013374776 Angela Geddes Psychologist 505 Arlington Dr, Charleston, SC 29414-5006 2016-01-25
1548661879 Kelly Rae Kaminski Psychologist 559 King St, Charleston, SC 29403-7504 2014-09-05
1124437074 Chad Krisak Psychologist 2907 Stonestown Dr, Charleston, SC 29414-6690 2014-08-05
1730525460 Mary Beth Hill Psychologist 75 Cahoun Street, Charleston, SC 29401 2013-05-21
1508202698 Tirieka Scott Brown Psychologist 1324 Secessionville Rd, Charleston, SC 29412-8231 2013-05-15
1841635513 Tara Anne Cox Psychologist 1776 William Kennerty Dr, Charleston, SC 29407-2901 2013-05-07
1740624287 Christina Nance Psychologist 822 Dills Bluff Rd, Charleston, SC 29412-4710 2013-04-26
1306280078 Patricia Daughtry Psychologist 1776 William Kennerty Drive, West Ashley Middle School, Charleston, SC 29407 2013-04-24
1942427562 City of Charleston Supt of Schools District 9 Psychologist 125 West Main Street, Charleston, AR 72933 2007-04-18
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Competitor

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City CHARLESTON
Zip Code 29403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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