| NPI | 1093978728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J STEWART President Psychologist 706-325-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 2505) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA 2505) |
| 103G00000X Clinical Neuropsychologist (Licence: AL 711) | |
| 103T00000X Psychologist (Licence: AL 711) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |