Organization · Type 2 NPI
Gwendolyn Moddrell MD PC
Prescribing (Medical) Psychologist · Swainsboro, GA
Practice location
247 W Main St # B
Swainsboro, GA 30401-3163
Fax (478) 237-8118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | None listed |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
About NPI 1992911234
Gwendolyn Moddrell MD PC's National Provider Identifier is 1992911234, issued on May 15, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Swainsboro, GA. The record was last updated on Aug 12, 2008.