Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Justin L Quattlebaum, PHD

Individual provider Clinical Psychologist · NPI 1780961433

Dr. Justin L Quattlebaum, PHD is a Clinical Psychologist in Charleston, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

109 Bee St
Charleston, SC 29401-5703
Phone: (310) 890-9930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 10001028 (SC)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 10001028 (SC)

Record details

NPI number1780961433
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 9, 2011
Last updated in NPPESNovember 9, 2011

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