First Step Pediatric Psychology Consultants, Llc | |
1415 Highway 85 N Ste 310-222 Fayetteville GA 30214-7738 | |
(678) 462-5478 | |
Not Available |
Full Name | First Step Pediatric Psychology Consultants, Llc |
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Speciality | Community/behavioral Health |
Location | 1415 Highway 85 N Ste 310-222, Fayetteville, Georgia |
Authorized Official Name and Position | Tiffany Gilmore Randell (CEO/LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6784625478 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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First Step Pediatric Psychology Consultants, Llc 1415 Highway 85 N Ste 310-222 Fayetteville GA 30214-7738 Ph: (678) 462-5478 | First Step Pediatric Psychology Consultants, Llc 1415 Highway 85 N Ste 310-222 Fayetteville GA 30214-7738 Ph: (678) 462-5478 |
NPI Number | 1306165634 |
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Provider Enumeration Date | 05/26/2010 |
Last Update Date | 05/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306165634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | PY003365 (Georgia) | Primary |
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