Individual provider · Type 1 NPI
Charles David Richardson Ii, DO
Neurodevelopmental Disabilities Physician · Hattiesburg, MS
NPI number
1942640388
Active
Practice location
2117 Broadway Drive
Hattiesburg, MS 39402-3210
Fax (601) 288-8058
Other practice locations
- Merit Health Medical Group-Sr Behavioral Health, 5001 Hardy Street, Hattiesburg, MS 39402-1331 · (601) 268-8029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 24662 (MS) |
| Neurodevelopmental Disabilities Physician Primary | 2084P0005X | 24662 (MS) |
Neurodevelopmental Disabilities Physician: A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
12 other providers at this address
- Ashley Haynes Holford, LCSWClinical Social Worker Hattiesburg, MS NPI 1053354027
- James Allen Marlowe, MDPsychiatry Physician Hattiesburg, MS NPI 1952344913
- Jennifer H. McAdory, PMHNPPsychiatric/Mental Health Nurse Practitioner Hattiesburg, MS NPI 1568041291
- Jessica BassPsychiatric/Mental Health Nurse Practitioner Hattiesburg, MS NPI 1558080739
- Joanna Michelle Hardy, FNPFamily Nurse Practitioner Hattiesburg, MS NPI 1174636195
- Justin Defee, LPCProfessional Counselor Hattiesburg, MS NPI 1396176301
- Ketankumar Bodarya, MDPsychiatry Physician Hattiesburg, MS NPI 1831496165
- Roopsi Bassi, MDPsychiatry Physician Hattiesburg, MS NPI 1053609586
- Shelley S. Cochran, FNPFamily Nurse Practitioner Hattiesburg, MS NPI 1689780421
- Tamra Lynn Thomas, FNPNurse Practitioner Hattiesburg, MS NPI 1710302922
- Thomas A. Miller, MDChild & Adolescent Psychiatry Physician Hattiesburg, MS NPI 1083658702
- William Smith Turner Jr., PMHNPPsychiatric/Mental Health Nurse Practitioner Hattiesburg, MS NPI 1538693510
About NPI 1942640388
Charles David Richardson Ii, DO's National Provider Identifier is 1942640388, issued on Jun 30, 2013. The primary taxonomy on file is Neurodevelopmental Disabilities Physician (2084P0005X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 24, 2025.