| NPI | 1083098586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI-LEE WEBB Licensed Psychologist/Co Owner 770-293-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003905) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC007978) |
| 133V00000X Dietitian, Registered (Licence: GA LD002730) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |