NPI age
18 years
Enumerated 2008-03-30
Across 1487 active psychologist providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003306759A | |
| 05 (GA) | 00760463D |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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