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Contact Information

PSYCHOLOGICAL SERVICES OF ATLANTA, LLC
1770 OLD SPRING HOUSE LN
SUITE #114
ATLANTA, GA30338-6213
 Phone: 770-452-5353
 Fax: 770-452-5363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL SERVICES OF ATLANTA, LLC

NPI Number 1922286731
LBN Legal business name PSYCHOLOGICAL SERVICES OF ATLANTA, LLC
Authorized official DAYNA DIAZ - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2008
Last updated 02/04/2008 - About 18 years ago
Identifiers
GA License # PSY002970
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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