Individual
MS. BRENDA SUE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
128 FRANCES MEEKS WAY, RICHMOND HILL, GA 31324-3983
(912) 756-5696
(912) 756-5636
Mailing address
PO BOX 970, RICHMOND HILL, GA 31324-0970
(912) 756-5696
(912) 756-5636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0931
GA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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