NPI age
14 years
Enumerated 2011-09-02
Across 1487 active psychologist providers in Georgia.
2 secondary locations on file with NPPES.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003217124B | |
| 05 (GA) | 003266024A |
Multi-provider organization. 2 individual providers on file at this primary address. Plus 2 secondary practice locations.
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