Individual
CONSTANCE STAPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
211 PLEASANT HOME RD, BLDG G1, AUGUSTA, GA 30907-0518
(706) 364-5228
(706) 364-5229
Mailing address
211 PLEASANT HOME RD, BLDG G1, AUGUSTA, GA 30907-0518
(706) 364-5228
(706) 364-5229
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2412
GA
Other
Enumeration date
06/01/2005
Last updated
07/08/2008
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