NPI age
20 years
Enumerated 2006-04-27
Across 1487 active psychologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 5813109513108800 | TRICARE |
| 05 (GA) | 00133141A | |
| 01 | 237009 | BCBS |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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