| Kevin J Richards, Ph.d., P.c. | |
|
199 Frasier St Se Marietta GA 30060-2201 | |
| (678) 310-3442 | |
| (678) 564-4401 |
| Full Name | Kevin J Richards, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 199 Frasier St Se, Marietta, Georgia |
| Authorized Official Name and Position | Kevin J Richards (OWNER) |
| Authorized Official Contact | 6783103442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Richards, Ph.d., P.c. 199 Frasier St Se Marietta GA 30060-2201 Ph: (678) 310-3442 | Kevin J Richards, Ph.d., P.c. 199 Frasier St Se Marietta GA 30060-2201 Ph: (678) 310-3442 |
| NPI Number | 1841488350 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841488350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002508 (Georgia) | Secondary |
| 103TF0200X | Psychologist - Forensic | PSY002508 (Georgia) | Primary |
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