| NPI | 1134398357 |
|---|---|
| Other Name | LAURA RISS, PSY.D. |
| Entity Type | Organization |
| Authorized Contact | GLORIA BLACK Office Rep. 706-410-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002955) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2012-07-25 |