Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARMINE COSTELLO, PHD
Active Sole ProprietorDR. CARMINE COSTELLO, PHD is a Forensic Psychologist healthcare provider located in JEFFERSON, Georgia. NPI 1073227054 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · JEFFERSON, GA
Registration Details
- NPI Number
- 1073227054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2023 (3.5980354077066 yrs)
- Last Updated
- Dec 1, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
385 HIGHTOWER TRAILJEFFERSON, GA, 30549Browse GA providers · Browse ZIP 30549
- Phone
- 7707318257
- Primary Specialty
-
Forensic Psychologist
103TF0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.