A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
GA license #PSY001867taxonomy 103TC0700X
Identifiers
Type
Value
Notes
05 (GA)
000611421B
01 (GA)
GROUP 4671
MEDICARE GROUP
01 (GA)
68BBGDP
MEDICARE
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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