Individual
DR. CARMINE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
385 HIGHTOWER TRAIL, JEFFERSON, GA 30549
(770) 731-8257
Mailing address
850 WINDY HILL RD SE UNIT 2084, SMYRNA, GA 30081-3039
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
12/01/2023
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