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Contact Information

JASON LINTICUM
145 CANTON PARK AVE
EVANS, GA30809-0808
 Phone: 706-421-2464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JASON LINTICUM · (Male)

NPI # 1659063352
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2023
Last updated 05/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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