Parks, Randolph W
Parks, Randolph W is an individual health care provider with primary practice located at 1061 Harmon Ave Clinical Support Division Room 2J22, Fort Stewart GA 31314-5641. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Parks, Randolph W can be contacted via phone (912) 435-6277.Contact Information
Primary practice address
1061 Harmon Ave Clinical Support Division Room 2J22
Fort Stewart GA 31314-5641
Phone: (912) 435-6277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY6459 | Florida |
Profile Details
| NPI number | 1285811257 |
|---|---|
| LBN Legal business name | Parks, Randolph W |
| Credentials | PHD PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2008 |
| Last updated | May 19th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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