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Contact Information

TERRY R CHASTAIN, L.P.C.
5294 LAWRENCEVILLE HWY
B-5
LILBURN, GA30047
 Phone: 770-931-3588
 Fax: 770-717-7328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TERRY R CHASTAIN · (Male)

NPI # 1508004342
Status Active
Credentials L.P.C.
Entity Individual
Enumeration date 02/02/2009
Last updated 02/02/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # LPC004464
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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