Individual
JOHN D. RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
229 REMINGTON AVE, THOMASVILLE, GA 31792-5599
(229) 233-8009
(229) 233-8037
Mailing address
PO BOX 378, THOMASVILLE, GA 31799-0378
(229) 233-8009
(229) 233-8037
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003596
GA
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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