National Provider Identifier Database

CARMINE COSTELLO, PHD – NPI #1073227054
Forensic

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.


Contact Information

CARMINE COSTELLO, PHD
385 HIGHTOWER TRAIL
JEFFERSON, GA30549
Phone: 770-731-8257
Fax:
Website:
Specialty Taxonomy Code
* Forensic 103TF0200X

* Indicates primary specialty

NPI Profile & details for CARMINE COSTELLO

NPI Number 1073227054
Credentials PHD
Entity Individual
Enumeration date 01/13/2023
Last updated 12/01/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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