NPI age
19 years
Enumerated 2007-02-08
Across 1487 active psychologist providers in Georgia.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 112025855C | |
| 01 (GA) | 10071390 | AMERIGROUP |
| 05 (GA) | 112025855E | |
| 05 (GA) | 112025855D | |
| 05 (GA) | 112025855F |
Multi-provider organization. 4 individual providers on file at this primary address.
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