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Contact Information

AFFILIATED PSYCHOLOGICAL & MEDICAL CONSULTANTS, LLC
200 W ACADEMY STREET NW
SUITE A
GAINESVILLE, GA30501-8524
 Phone: 770-535-1284
 Fax: 770-536-3888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AFFILIATED PSYCHOLOGICAL MEDICAL CONSULTANTS LLC · (Female)

NPI # 1174601348
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2006
Last updated 05/17/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 55001088A
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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