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Contact Information

ATLANTA PSYCHOLOGICAL SERVICES, LLC
2308 PERIMETER PARK DR
SUITE 100
ATLANTA, GA30341-1316
 Phone: 770-457-5577
 Fax: 770-457-5599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ATLANTA PSYCHOLOGICAL SERVICES, LLC

NPI Number 1265745517
LBN Legal business name ATLANTA PSYCHOLOGICAL SERVICES, LLC
Authorized official ANDREW GOTHARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2010
Last updated 07/15/2010 - About 16 years ago
Identifiers n/a
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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