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Contact Information

MICHELE J RUSIN, PH.D., ABPP
1276 MCCONNELL DRIVE
SUITE C
DECATUR, GA30033-3506
 Phone: 404-929-9009
 Fax: 404-929-9005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHELE J RUSIN · (Female)

NPI Number 1649349689
Status Active
Credentials PH.D., ABPP
Entity Individual
Enumeration date 11/06/2006
Last updated 01/17/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 01078
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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