is a Forensic in Albany, Georgia. practices all healthcare services and medical treatments related to Forensic. The NPI Number for is 1831356864. The last update date is .
's current location address is 3143 Cane Mill Dr, Albany, Georgia. You can contact this provider via phone number 2297894400. The mailing address for is 3143 Cane Mill Dr, Albany, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3143 Cane Mill Dr, Albany, Georgia |
| Phone Number | 2297894400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1831356864 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3143 Cane Mill Dr |
|---|---|
| City | Albany |
| State | Georgia (GA) |
| Post Code | 317217114 |
| Phone Number | 2297894400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003172200A | GA | -- |
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