OrganizationActive
Associated Health Services
NPI 1700134277 · Clinical Neuropsychologist · St Simons Island, GA
Provider details
- NPI number
- 1700134277
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ronald Hart, Owner(904) 280-4491
- License
- PSY001838 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Practice location
411 Longview Plz
St Simons Island, GA 31522-2574
Phone: (904) 280-4491
Fax: (904) 280-4491
Approximate (ZIP-level) locationGet directions
Mailing address
411 Longview Plz
St Simons Island, GA 31522-2574
Registry dates
- Enumerated
- 2012-08-15
- Last updated
- 2012-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.