NPI age
19 years
Enumerated 2006-10-02
Across 1487 active psychologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00419603A | |
| 01 (GA) | 52254736 001 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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