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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDOLPH W PARKS, PHD PSYD

Active

RANDOLPH W PARKS, PHD PSYD is a Clinical Neuropsychologist healthcare provider located in FORT STEWART, Georgia. NPI 1285811257 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · FORT STEWART, GA

Registration Details

NPI Number
1285811257
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2008 (18.524238002277 yrs)
Last Updated
May 19, 2008
License
PY6459 (FL)

Practice Information

Address
1061 HARMON AVE
CLINICAL SUPPORT DIVISION ROOM 2J22
FORT STEWART, GA, 313145641
Browse GA providers · Browse ZIP 31314
Phone
9124356277
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in FORT STEWART, GA

Name Credential NPI
DR. DANIEL HICKY GRANT ED. D. 1205114535
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.