NPI age
18 years
Enumerated 2008-05-19
Across 1487 active psychologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | Z130Q | BCBSF |
| 05 (GA) | 497958107C |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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