NPI age
20 years
Enumerated 2005-07-21
Across 237 active psychologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | 000122536 | HIGHMARK |
| 01 (GA) | 471057197 | IRS |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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