NPI age
19 years
Enumerated 2007-03-28
Across 1114 active psychologist providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 11415 | SFGH INTERNAL USE ONLY |
| 01 | 11415 | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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