Pediatric & Adolescent Psychology in Savannah - Clinical
Pediatric & Adolescent Psychology - NPI 1891966925
Pediatric & Adolescent Psychology is a Clinical in Savannah, Georgia. Pediatric & Adolescent Psychology practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pediatric & Adolescent Psychology is 1891966925. The last update date is 2023-06-09.
Pediatric & Adolescent Psychology's current location address is 28 Redwall Cir, Savannah, Georgia. You can contact this provider via phone number 9126565503 and fax number 9126001969. The mailing address for Pediatric & Adolescent Psychology is 28 Redwall Cir, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric & Adolescent Psychology |
|---|---|
| Address | 28 Redwall Cir, Savannah, Georgia |
| Phone Number | 9126565503 |
| Fax Number | 9126001969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pedigo K Thomas |
| Credentials | ED.D |
| Telephone Number | 9126565503 |
NPI Number Detail
| NPI Number | 1891966925 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2023-06-09 |
Provider Mailing Address Detail
| Address | 28 Redwall Cir |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314079039 |
| Phone Number | 9126565503 |
| Fax Number | 9126001969 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Pediatric & Adolescent Psychology by the Centers for Medicare & Medicaid Services?
The Pediatric & Adolescent Psychology has been issued the NPI (National Provider Identifier) 1891966925 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Pediatric & Adolescent Psychology's physical address?
The Pediatric & Adolescent Psychology is physically located at 28 Redwall Cir, in the city of Savannah, GA, with the postal code 314079039.
What is Pediatric & Adolescent Psychology's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pediatric & Adolescent Psychology's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Pediatric & Adolescent Psychology receive its 1891966925 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric & Adolescent Psychology was assigned its 1891966925 on 2008-03-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Pediatric & Adolescent Psychology last refreshed?
The information related to the Pediatric & Adolescent Psychology, including its address, specialty, and other relevant details, was last updated on 2023-06-09.
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