Individual provider · Type 1 NPI
Carmine Costello, PhD
Forensic Psychologist · Jefferson, GA
NPI number
1073227054
Active
Practice location
385 Hightower Trail
Jefferson, GA 30549
Mailing address
850 Windy Hill Rd SE Unit 2084
Smyrna, GA 30081-3039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Forensic Psychologist Primary | 103TF0200X | None listed |
Forensic Psychologist: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
About NPI 1073227054
Carmine Costello, PhD's National Provider Identifier is 1073227054, issued on Jan 13, 2023. The primary taxonomy on file is Forensic Psychologist (103TF0200X), and the practice location is in Jefferson, GA. The record was last updated on Dec 1, 2023.