Organization · Type 2 NPI
Southeastern Psychological Consultant
Psychologist · Midland, GA
Practice location
7362 Eagle Ct
Midland, GA 31820-4334
Fax (706) 568-1948
Mailing address
7362 Eagle Ct.
Midland, GA 31820-4334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2505 (GA) |
| Clinical Neuropsychologist | 103G00000X | 711 (AL) |
| Psychologist Primary | 103T00000X | 2505 (GA) |
| Psychologist | 103T00000X | 711 (AL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
About NPI 1093978728
Southeastern Psychological Consultant's National Provider Identifier is 1093978728, issued on Jul 2, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Midland, GA. The record was last updated on Jul 2, 2008.