NPI age
19 years
Enumerated 2006-07-14
Across 146 active psychologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 54641 | BLUECROSSBLUESHIELD |
| 01 (FL) | 7761336 | AETNA PROVIDER NUMBER |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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