Doctor Name: | ROBIN SHELTON BETHEA |
NPI Number: | 1740392836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS LPCI |
License Number: | 3952 |
Business Practice Address: | 1324 Commerce Drive Dillon, SC - 29536 |
Business Phone Number: | 8437743351 |
Business Fax Number: | 8437742622 |
Mailing Address: | Po Box 929, DILLON |
State: | SC |
Postal Code: | 29536 |
Phone Number: | 8437743351 |
Fax Number: | 8437742622 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 3952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |