IndividualActive
Clarissa Middleton, P.H.D., M.ED.
NPI 1861136277 · Early Intervention Provider Agency · Hephzibah, GA
Provider details
- NPI number
- 1861136277
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- P.H.D., M.ED.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- Pastoral Counselor101YP1600X
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Military Health Care Provider171000000X
Other Service Providers
- Research Study Specialist1744R1102X
Other Service Providers
- Local Education Agency (LEA)251300000X
Agencies
- Home Health Agency251E00000X
Agencies
Practice location
4040 Pinnacle Way
Hephzibah, GA 30815-6135
Phone: (863) 329-2510
Approximate (ZIP-level) locationGet directions
Mailing address
4040 Pinnacle Way
Hephzibah, GA 30815-6135
Registry dates
- Enumerated
- 2022-04-21
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.