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Contact Information

KATHLEEN M OTOOLE, PHD
1001 JOHNSON FERRY RD NE
ATLANTA, GA30342
 Phone: 404-250-2849
 Fax: 404-250-2939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for KATHLEEN M OTOOLE · (Female)

NPI # 1114967759
Status Active
Credentials PHD
Entity Individual
Enumeration date 06/08/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 001931
  • GA Medicaid 00706329A
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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