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Contact Information

MARCIA A PRESCOTT, PHD
1111 BAKERS BRIDGE RD
DOUGLASVILLE, GA30134
 Phone: 770-947-2311
 Fax: 770-947-2347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARCIA A PRESCOTT · (Female)

NPI # 1174676803
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/18/2007
Last updated 08/09/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 002767
  • GA Medicaid 047483820A
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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