Southeastern Psychological Consultant

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2505 Issued in GA

Legal business name

SOUTHEASTERN PSYCHOLOGICAL CONSULTANT

Practice address

7362 Eagle CT
Midland, GA 31820-4334

Phone

(706) 325-0820

Fax

(706) 568-1948

NPI assigned

Jul 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott J Stewart, PH D

Title

President Psychologist

Phone

(706) 325-0820

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1093978728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 EAGLE CT.",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204334",
            "telephone_number": "706-325-0820",
            "fax_number": "706-568-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 EAGLE CT",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204334",
            "telephone_number": "706-325-0820",
            "fax_number": "706-568-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PSYCHOLOGICAL CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT PSYCHOLOGIST",
        "authorized_official_telephone_number": "706-325-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "2505",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "711",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "2505",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AL",
            "license": "711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F. Allen Shaw, D.D.S.
• Alec Silva
• Carenda Slade, ED.D
• Deloris Smalley
• Frederick Smith, LPC
• Laurie Stephens
• Hillary Langston Stewart
• Lakesha Tamia Story, O.D.
• Thomas E Summerford, PT
• Andre Tarver

• Psychologist in Midland, GA
• Providers in Midland, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.