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Contact Information

FOOTPRINTS PSYCHOLOGICAL SERVICES LLC
1090 FOUNDERS BLVD.
STE B
ATHENS, GA30606
 Phone: 706-548-8697
 Fax: 706-548-8698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FOOTPRINTS PSYCHOLOGICAL SERVICES LLC · (Female)

NPI Number 1487904454
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2012
Last updated 09/17/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # PSY003585
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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