Provider Demographics
NPI:1245575224
Name:D'ASCOLI, CAMILLE ANNETTE (PHD)
Entity type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:ANNETTE
Last Name:D'ASCOLI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 CASTLE VALE RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2621
Mailing Address - Country:US
Mailing Address - Phone:803-732-6594
Mailing Address - Fax:
Practice Address - Street 1:1600 BROAD RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-7304
Practice Address - Country:US
Practice Address - Phone:803-896-4780
Practice Address - Fax:803-896-5166
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst