NPI age
17 years
Enumerated 2008-07-08
Across 1114 active psychologist providers in Georgia.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00183356C | |
| 01 | 10044538 | AMERIGROUP |
Multi-provider organization. 5 individual providers on file at this primary address.
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