NPI 1205904950

Randy J. Georgemiller, PHD

Practitioner Clinical Neuropsychologist Fort Gordon, GA

Practice location

Address: 300 E Hospital Rd Room 13a-10, Fort Gordon, GA 30905-5650
Phone: (706) 787-3143
Mailing address: 300 E Hospital Rd Room 13a-10, Ft Gordon, GA 30905-5650

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY003859 (GA)

Other Clinical Neuropsychologist providers in Georgia →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071-003110 (IL)

Other Psychologist providers in Georgia →

Registry record

NPI: 1205904950
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2006
Record last updated: 20 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.