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Contact Information

REBECCA S BLAKEMAN, PHD
5833 STEWART PKWY STE 203
DOUGLASVILLE, GA30135-6934
 Phone: 404-310-1161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for REBECCA S BLAKEMAN · (Female)

NPI Number 1679729412
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/12/2008
Last updated 07/02/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 002757
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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