Provider Demographics
NPI:1548930795
Name:CARDINAL PSYCHOLOGY LLC
Entity type:Organization
Organization Name:CARDINAL PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MARION
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:III
Authorized Official - Credentials:PSYD
Authorized Official - Phone:843-259-2747
Mailing Address - Street 1:181 E EVANS ST STE C13
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-5540
Mailing Address - Country:US
Mailing Address - Phone:843-259-2747
Mailing Address - Fax:
Practice Address - Street 1:181 E EVANS ST STE C13
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-5540
Practice Address - Country:US
Practice Address - Phone:843-259-2747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-19
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty