NPI age
13 years
Enumerated 2012-07-10
Across 1114 active psychologist providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 1780879320 | PREVIOUS NPI (AS SOLE PROPRIETOR) |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 20 individual providers on file at this primary address.
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