| Psychological Services Of Coastal Georgia, Pc | |
|
10375 Ford Ave Ste 2 Richmond Hill GA 31324-8811 | |
| (912) 756-5696 | |
| (912) 756-5636 |
| Full Name | Psychological Services Of Coastal Georgia, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 10375 Ford Ave Ste 2, Richmond Hill, Georgia |
| Authorized Official Name and Position | Brenda Sue Richardson (PSYCHOLOGIST) |
| Authorized Official Contact | 9127565696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Coastal Georgia, Pc Po Box 970 Richmond Hill GA 31324-0970 Ph: (912) 756-5696 | Psychological Services Of Coastal Georgia, Pc 10375 Ford Ave Ste 2 Richmond Hill GA 31324-8811 Ph: (912) 756-5696 |
| NPI Number | 1790992360 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 12/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790992360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0931 (Georgia) | Primary |
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