Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEIDAR A. MODARESI, PHD
Active Sole ProprietorDR. HEIDAR A. MODARESI, PHD is a Clinical Psychologist healthcare provider located in ROCK HILL, South Carolina. NPI 1619920980 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ROCK HILL, SC
Registration Details
- NPI Number
- 1619920980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.202406874755 yrs)
- Last Updated
- Sep 2, 2010
- Licenses
-
1973 (NC)0575 (SC)0575 (SC)1973 (NC)0575 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3060 WIMBLEDON LNROCK HILL, SC, 297329249Browse SC providers · Browse ZIP 29732
- Phone
- 8033669791
- Fax
- 8037539522
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in ROCK HILL, SC
| Name | Credential | NPI |
|---|---|---|
| LOIS JOAN VERONEN | PH.D. | 1609826692 |
| DR. TIMOTHY KENNETH DAUGHERTY | PH.D., ABPP | 1134168099 |
| DR. STEPHEN A KISSLINGER | PSYD, MDIV | 1245494764 |
| DR. SILVIE C KENDALL | PH.D. | 1174756324 |
| WHITNEY DANSO | PH.D. | 1720611833 |
| DR. GRETCHEN K B BALDWIN | PSY.D. | 1487433728 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.