NPI age
18 years
Enumerated 2007-10-18
Across 1114 active psychologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | IPO 40380 | BCBS |
| 01 (GA) | R-12544 | UPIN |
Single-site organization. Only one practice location on file.
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