| NPI | 1023586773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DENISE FOSTER Psychologist 404-875-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2020-01-24 |