| NPI | 1043357874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A SHAYNE ABELKOP Licensed Psychologist Director 706-431-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY#002799) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-01-14 |