NPI age
20 years
Enumerated 2005-08-25
Across 1487 active psychologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 107070 | CHAMPUS |
| 01 (NH) | 0607634YONH01 | BC/BS |
| 05 (NH) | 30421865 |
Part of a multi-provider practice. 1034 other active providers share this practice address in NPPES.
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