NPI age
19 years
Enumerated 2007-05-10
Across 1114 active psychologist providers in Georgia.
14 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00423178B | |
| 05 (GA) | 00423178A |
Multi-provider organization. 14 individual providers on file at this primary address.
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