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Contact Information

PSYCHOLOGICAL SERVICES OF ATLANTA, LLC
1770 OLD SPRING HOUSE LN
SUITE #114
ATLANTA, GA30338-6213
 Phone: 770-452-5353
 Fax: 770-452-5363
 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
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

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

NPI Number 1922286731
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2008
Last updated 02/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # PSY002970
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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