Southeastern Psychological Consultant
Southeastern Psychological Consultant is a Clinical Neuropsychologist in Midland, Georgia. Licensed in Alabama and Georgia. Registered with an NPI since 2008.
- Licensed in
- AL, GA
- In the registry since
- 2008
- Specialties on file
- 4
Practice location Address checks out
7362 Eagle CtMidland, GA 31820-4334
Phone: (706) 325-0820
Fax: (706) 568-1948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 2505 (GA) |
|---|---|
| Clinical Neuropsychologist | Taxonomy 103G00000X · Licence 2505 (GA) |
| Clinical Neuropsychologist | Taxonomy 103G00000X · Licence 711 (AL) |
| Psychologist | Taxonomy 103T00000X · Licence 711 (AL) |
Record details
| NPI number | 1093978728 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Stewart — President Psychologist · (706) 325-0820 |
| NPI enumerated | July 2, 2008 |
| Last updated in NPPES | July 2, 2008 |
| Mailing address | 7362 Eagle Ct., Midland, GA 31820-4334 |