DR. Carmine Costello, PHD

NPI #1073227054 in Jefferson, Georgia

Provider Information

NPI Number: 1073227054
Entity Type: Individual
Name: DR. Carmine Costello, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Forensic
Credential: PHD
Enumeration Date: Jan 13, 2023
Last Updated: Dec 1, 2023

Practice Location

Address: 385 HIGHTOWER TRAIL
City: Jefferson
State: Georgia
ZIP Code: 30549
Phone: (770) 731-8257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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