Organization
FIRST STEP PEDIATRIC PSYCHOLOGY CONSULTANTS, LLC
Active
Organization
FIRST STEP PEDIATRIC PSYCHOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY GILMORE RANDELL PSY.D. (CEO/LICENSED PSYCHOLOGIST)
(678) 462-5478
Entity
Organization
Contact information
Practice address
1415 HIGHWAY 85 N STE 310-222, FAYETTEVILLE, GA 30214-7738
(678) 462-5478
Mailing address
1415 HIGHWAY 85 N STE 310-222, FAYETTEVILLE, GA 30214-7738
(678) 462-5478
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY003365
GA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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