Individual
STEPHANIE ANNE NORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1265 INTERSTATE PKWY, AUGUSTA, GA 30909-6481
(706) 849-3386
Mailing address
3633 WHEELER RD STE 320, AUGUSTA, GA 30909-6552
(706) 842-3279
(706) 842-3272
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
12273
—
103T00000X
Psychologist
Primary
003548
GA
Other
Enumeration date
09/08/2011
Last updated
02/21/2025
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