Taxonomy Code 103T00000X(103t00000x)
Psychologist. Providers: 12

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Psychologist Providers

NPI Name Type Address

1720003262

DR. PH.D. David Thomas Wasieleski

Individual

1002 Slater St

Valdosta, GA

1881874618

DR. PSY.D. Kellie Hyde

Individual

5140 Northwind Blvd

Condo 305 East

Valdosta, GA

1750632279

Palmtree Psychological Services, Llc

Organization

111 Woodrow Wilson Dr

Suite B

Valdosta, GA

1225366172

DR. PHD Marcie C Wiseman

Individual

2704 N Oak St

Building B-3

Valdosta, GA

1164870408

Southern Psychological And Behavioral Services, Llc

Organization

202 W Gordon St

Suite D

Valdosta, GA

1588194799

DR. PHD Ryan Couillou

Individual

2704 N Oak St Bldg A1

Valdosta, GA

1548771876

Aldo Enrique Revilla

Individual

Bermiss Rd, Moody Afb

Valdosta, GA

1790240984

DR. PHD Jennifer Michelle Branscome

Individual

2236 Bemiss Rd

Valdosta, GA

1093379786

DR. PHD Katharine Susan Adams

Individual

2236 Bemiss Rd

Valdosta, GA

1033545785

DR. PHD Destin Nicole Stewart

Individual

3312 N Oak Street Ext Bldg D

Valdosta, GA

1447677828

DR. PH. D. Twyla Lucinda Mancil

Individual

2236 Bemiss Rd

Valdosta, GA

1962516625

PH.D. Emily Burton

Individual

348 Enterprise Dr Ste B

Valdosta, GA

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Taxonomy Code 103T00000X
Display Name Psychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Psychologist
Definition A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Psychologist Codes

Addiction (Substance Use Disorder) Psychologist

103TA0400X • providers: 623

Adult Development & Aging Psychologist

103TA0700X • providers: 215

Clinical Child & Adolescent Psychologist

103TC2200X • providers: 4,646

Clinical Psychologist

103TC0700X • providers: 71,522

Cognitive & Behavioral Psychologist

103TB0200X • providers: 2,097

Counseling Psychologist

103TC1900X • providers: 7,770

Deactivated - Psychologist

103TE1000X • providers: 0

Deactivated - Psychologist Men & Masculinity

103TM1700X • providers: 0

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Deactivated - Psychotherapy Women

103TW0100X • providers: 0

Exercise & Sports Psychologist

103TE1100X • providers: 92

Family Psychologist

103TF0000X • providers: 337

Forensic Psychologist

103TF0200X • providers: 765

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Health Psychologist

103TH0004X • providers: 432

Health Service Psychologist

103TH0100X • providers: 828

Intellectual & Developmental Disabilities Psychologist

103TM1800X • providers: 886

Prescribing (Medical) Psychologist

103TP0016X • providers: 528

Psychoanalysis Psychologist

103TP0814X • providers: 325

Rehabilitation Psychologist

103TR0400X • providers: 714

School Psychologist

103TS0200X • providers: 8,926