Robert A Richardson Psyd | |
535 E Perry St Savannah GA 31401-4122 | |
(912) 341-0579 | |
Not Available |
Full Name | Robert A Richardson Psyd |
---|---|
Speciality | Psychologist |
Location | 535 E Perry St, Savannah, Georgia |
Authorized Official Name and Position | Robert Richardson (OWNER) |
Authorized Official Contact | 9123410579 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Robert A Richardson Psyd 535 E Perry St Savannah GA 31401-4122 Ph: (912) 341-0579 | Robert A Richardson Psyd 535 E Perry St Savannah GA 31401-4122 Ph: (912) 341-0579 |
NPI Number | 1457712580 |
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Provider Enumeration Date | 03/17/2016 |
Last Update Date | 03/17/2016 |
Medicare PECOS PAC ID | 8820387350 |
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Medicare Enrollment ID | O20160523000967 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457712580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Robert A Richardson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538331509 PECOS PAC ID: 6901976091 Enrollment ID: I20080602000176 |
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