Kevin J Richards in Marietta - Forensic

Kevin J Richards - NPI 1396838983

Kevin J Richards is a Forensic in Marietta, Georgia. Kevin J Richards practices all healthcare services and medical treatments related to Forensic. The NPI Number for Kevin J Richards is 1396838983. The last update date is 2011-06-29.

Kevin J Richards's current location address is 199 Frasier St Se, Marietta, Georgia. You can contact this provider via phone number 6783103442 and fax number 6785644401. The mailing address for Kevin J Richards is 199 Frasier St Se, Marietta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin J Richards
Address 199 Frasier St Se, Marietta, Georgia
Phone Number 6783103442
Fax Number 6785644401
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1396838983
Provider Enumeration Date 2006-10-02
Last Updated Date 2011-06-29

Provider Mailing Address Detail

Address 199 Frasier St Se
City Marietta
State Georgia (GA)
Post Code 300602201
Phone Number 6783103442
Fax Number 6785644401

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Licence No PSY002508
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
000950441A GA --

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FAQs about Kevin J Richards

What is the unique 10-digit identification code issued to Kevin J Richards by the Centers for Medicare & Medicaid Services?

The Kevin J Richards has been assigned the NPI (National Provider Identifier) 1396838983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Kevin J Richards?

The Kevin J Richards is situated at 199 Frasier St Se, in the city of Marietta, state of GA, with the zip code 300602201.

What is the Kevin J Richards's specialty and taxonomy code?

The Kevin J Richards's specialty is Forensic, and the corresponding taxonomy code is 103Tf0200X.

On what date did Kevin J Richards receive its 1396838983 assignment from the Centers for Medicare & Medicaid Services?

The Kevin J Richards was assigned its 1396838983 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Kevin J Richards most recently updated or revised?

The details related to Kevin J Richards, including its address, specialty, and other relevant information, were last updated or revised on 2011-06-29.

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