Provider Demographics
NPI:1215375035
Name:BUDDIN, WILLIAM HOWARD JR (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HOWARD
Last Name:BUDDIN
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:29 LEINBACH DR
Mailing Address - Street 2:SUITE D4
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7071
Mailing Address - Country:US
Mailing Address - Phone:843-509-6521
Mailing Address - Fax:843-636-3406
Practice Address - Street 1:29 LEINBACH DR
Practice Address - Street 2:SUITE D4
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7071
Practice Address - Country:US
Practice Address - Phone:843-509-6521
Practice Address - Fax:843-636-3406
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1268103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical