Organization
SOUTHEASTERN PSYCHOLOGICAL CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT J STEWART PH D (PRESIDENT PSYCHOLOGIST)
(706) 325-0820
Entity
Organization
Contact information
Practice address
7362 EAGLE CT, MIDLAND, GA 31820-4334
(706) 325-0820
(706) 568-1948
Mailing address
7362 EAGLE CT., MIDLAND, GA 31820-4334
(706) 325-0820
(706) 568-1948
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2505
GA
103G00000X
Clinical Neuropsychologist
711
AL
103T00000X
Psychologist
Primary
2505
GA
103T00000X
Psychologist
711
AL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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