Provider Demographics
NPI:1497702435
Name:SEGEDIN, FRANCIS PAUL (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:PAUL
Last Name:SEGEDIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 BOISE LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:GABLE
Mailing Address - State:SC
Mailing Address - Zip Code:29051-9642
Mailing Address - Country:US
Mailing Address - Phone:803-495-2867
Mailing Address - Fax:803-495-3170
Practice Address - Street 1:1226 PICKENS ST
Practice Address - Street 2:SUITE 104
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3423
Practice Address - Country:US
Practice Address - Phone:803-495-2867
Practice Address - Fax:803-495-3170
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4035101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional