| NPI | 1073833638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BOYER Office Manager 478-477-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002759) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |