NPI | 1073645735 |
---|---|
Former Legal Business Name | DUNWOODY PSYCHOLOGICAL ASSOCIATES LLC. |
Entity Type | Organization |
Authorized Contact | EUGENE LUNSFORD Registered Agent 770-484-7773 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002851) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-08-22 |