NPI age
19 years
Enumerated 2006-06-10
Across 1487 active psychologist providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 497373 | VALUE OPTIONS |
| 01 (GA) | 52821111-001 | BCBS ID# |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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