KEVIN J RICHARDS PH.D. NPI 1396838983

NPI Information

NPI: 1396838983
Provider Name: KEVIN J RICHARDS, PH.D.
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
199 FRASIER ST SE
MARIETTA, GA
ZIP 30060
Phone: (678) 310-3442
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Kevin J Richards, PH.D. is a forensic psychologist in Marietta, GA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. Kevin J Richards, PH.D. NPI is 1396838983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

199 FRASIER ST SE
MARIETTA, GA
ZIP 30060-201
Phone: (678) 310-3442
Fax: (678) 564-4401

The enumeration date for this NPI number is 10/2/2006 and was last updated on 6/29/2011.

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
1	103TC0700X	Psychologist	Clinical	PSY002508	GEORGIA	No
2	103TF0200X	Psychologist	Forensic	PSY002508	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000950441A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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