Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephan Tucker Jackson Daddis, PSYD

Individual provider Clinical Psychologist · NPI 1083532063

Stephan Tucker Jackson Daddis, PSYD is a Clinical Psychologist in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

6439 Garners Ferry Rd
Columbia, SC 29209-1638
Phone: (803) 776-4000
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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 1998 (SC)

Record details

NPI number1083532063
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 8, 2026
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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