Ilinka Alexandrovna-Johnston, MA
Individual provider Active NPI Psychologist · Varnville, SC
NPI 1467623652 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1467623652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 65 Forest Drive
Varnville, SC 29944 - Phone
- (843) 524-8899
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
65 Forest Drive
Varnville, SC 29944
Mailing address
1050 Ribaut Rd
Beaufort, SC 29902-5400
Phone (843) 524-8899
Other providers in Varnville, SC
- Angels Arm Home Healthcare
- Atlantic Ophthalmology
- Beaufort County Memorial Hospital
- Beaufort County Memorial Hospital
- Beaufort Jasper Hampton Comprehensive Health Services, Inc
All providers in Varnville, SC · Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.