Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randolph W Parks, PHDPSYD

Individual provider Clinical Neuropsychologist · NPI 1285811257

Randolph W Parks, PHDPSYD is a Clinical Neuropsychologist in Fort Stewart, Georgia. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

1061 Harmon Ave Clinical Support Division Rm 2J22
Fort Stewart, GA 31314-5641
Phone: (912) 435-6277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY6459 (FL)

Record details

NPI number1285811257
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDPSYD
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESMay 19, 2008
Mailing address1061 Harmon Avenue, Army Clinical Support Division Room 2j22, Fort Stewart, GA 31314

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