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Contact Information

PEACHTREE PEDIATRIC PSYCHOLOGY, LLC
750 HAMMOND DRIVE
BLDG 7, STE 200
ATLANTA, GA30328
 Phone: 404-796-7777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PEACHTREE PEDIATRIC PSYCHOLOGY LLC · (Female)

NPI Number 1861998585
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2018
Last updated 04/02/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 3672
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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