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Contact Information

DAVID W AYCOCK, PHD
115 HABERSHAM DR
FAYETTEVILLE, GA30214
 Phone: 770-461-9944
 Fax: 770-461-9779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DAVID W AYCOCK · (Male)

NPI Number 1346318284
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY1239
  • GA Medicaid 00440349B
  • GA Other 680015333 RAILROAD MEDICARE
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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