Individual
DR. RICHARD SEAN NEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-8134
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-8134
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY001955
GA
103TC0700X
Clinical Psychologist
Primary
PSY001955
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY001955
GA
103TH0100X
Health Service Psychologist
PSY001955
GA
Other
Enumeration date
12/18/2006
Last updated
10/11/2013
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