NPI age
18 years
Enumerated 2008-03-04
Across 1487 active psychologist providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 002428 | PSYCHOLOGY LICENSE |
| 05 (GA) | 000895617B |
Multi-provider organization. 1 individual provider on file at this primary address.
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