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ROOSEVELT'S CHARACTER DEVELOPMENT CENTER NPI 1083070718


NPI Information

NPI: 1083070718
Provider Name: ROOSEVELT'S CHARACTER DEVELOPMENT CENTER

Other Name: RCDC

Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
119 S COLLEGE ST
STATESBORO, GA
ZIP 30458
Phone: (912) 541-2809
Get Directions

ROOSEVELT'S CHARACTER DEVELOPMENT CENTER is a cognitive and behavioral psychologist in Statesboro, GA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. ROOSEVELT'S CHARACTER DEVELOPMENT CENTER NPI is 1083070718. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Rcdc.

The provider's business location address is:

119 S COLLEGE ST
STATESBORO, GA
ZIP 30458-202
Phone: (912) 541-2809

The provider's authorized official is Roosevelt Cone .
The authorized official title is Owner and has the following contact phone number (912) 541-2809.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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