NPI age
19 years
Enumerated 2007-03-28
Across 1487 active psychologist providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00872429D | |
| 05 (GA) | 00872429C | |
| 01 (FL) | D2797AAD9D | TRICARE |
Multi-provider organization. 3 individual providers on file at this primary address.
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