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Contact Information

KRISTEN J AYCOCK, PhD
115 HABERSHAM DR
FAYETTEVILLE, GA30214-7353
 Phone: 770-461-9944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KRISTEN J AYCOCK · (Female)

NPI # 1952659641
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/28/2012
Last updated 01/31/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PSY003590
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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