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Contact Information

SAMUEL J MADDOX, PhD
1777 NORTHEAST EXPY NE
SUITE 175
ATLANTA, GA30329-2480
 Phone: 678-523-0969
 Fax: 770-788-7662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SAMUEL J MADDOX · (Male)

NPI # 1093904260
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/23/2007
Last updated 10/23/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PSY002983
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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