Larc

Mental Retardation & Developmental Disabilities - Psychology Clinic

1646 E Park Ave, Valdosta
    Georgia, 31602-3413

 229-244-8290    229-244-3458 Maps & Directions
Larc is a Mental Retardation & Developmental Disabilities - Psychology Clinic in Valdosta, Georgia. It is located at 1646 E Park Ave, Valdosta, GA and its contact number is 229-244-8290. The authorized person for Larc is Dr. Harry A Hamm who is Executive Director of the clinic and his/her contact number is 229-244-8290.
Larc Clinic
Complete Clinic Profile:
Larc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Larc
Specialization: Mental Retardation & Developmental Disabilities Psychology
Clinic Address:1646 E Park Ave, Valdosta,
Georgia, 31602-3413
Phone:229-244-8290
Fax:229-244-3458
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Dr. Harry A Hamm
Position: Executive Director
Contact Number: 229-244-8290
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Larc clinic are as mentioned below.
NPI Number: 1437290855
NPI Enumeration Date: 09 Feb, 2007
NPI Last Update On: 22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larc are as mentioned below.
SpecializationLicense NumberStateStatus
Mental Retardation & Developmental Disabilities Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0003946955MedicaidGeorgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Larc
1646 E Park Ave,
Valdosta, Georgia
Zip: 31602-3413
Phone Number: 229-244-8290
Fax Number: 229-244-3458
Patients can reach Larc at 1646 E Park Ave, Valdosta, Georgia or can call to book an appointment on 229-244-8290.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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