Healthcare Provider Details

I. General information

NPI: 1538331509
Provider Name (Legal Business Name): ROBERT ANTHONY RICHARDSON PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2008
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 RICHARD DAVIS DR STE 102
RICHMOND HILL GA
31324-3978
US

IV. Provider business mailing address

535 EAST PERRY STREET
SAVANNAH GA
31401
US

V. Phone/Fax

Practice location:
  • Phone: 912-231-5487
  • Fax: 844-904-0927
Mailing address:
  • Phone: 912-341-0579
  • Fax: 912-341-0579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number002069
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: