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SAVANNAH BEHAVIORAL PEDIATRICS LLC NPI 1265957823


NPI Information

NPI: 1265957823
Provider Name: SAVANNAH BEHAVIORAL PEDIATRICS, LLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

CLIA Number: 11D1039076

Address:
9100 WHITE BLUFF RD STE 601
SAVANNAH, GA
ZIP 31406
Phone: (912) 436-6789
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SAVANNAH BEHAVIORAL PEDIATRICS, LLC is a clinical child and adolescent psychologist in Savannah, GA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. SAVANNAH BEHAVIORAL PEDIATRICS, LLC NPI is 1265957823. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9100 WHITE BLUFF RD STE 601
SAVANNAH, GA
ZIP 31406-674
Phone: (912) 436-6789
Fax: (912) 436-6835

The provider's authorized official is Kristi Hofstadter-duke .
The authorized official title is Owner and has the following contact phone number (912) 436-6789.

The CLIA number assigned to this NPI record is 11D1039076 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/4/2017 and was last updated on 8/4/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentPSY003639GEORGIAYes

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: 11/14/2023

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