Unknown Individual – Clinical Psychologist, NPI 1376544890

Unknown Individual is a healthcare provider. based in Fort stewart, Georgia. specializing in Clinical Psychologist. They hold a License No. 450 (GA). The NPI Number for Unknown Individual is 1376544890

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376544890
Phone
(912) 767-1647
Address
1061 HARMON AVENUE
Deactivation Date
18 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States

    STE 1D03 WINN ACH,

    FORT STEWART, GA 313145674

    Phone: (912) 767-1647

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31314)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1376544890.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Fort Stewart, Georgia as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States
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DR. THERESA TUCKER STEELE (PHD)

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DR. DAVID WEBSTER (PHD)

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DR. RONALD D HOWES (PH.D.)

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DR. PAUL COSTA (PSY.D.)

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