| NPI | 1134456700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN CRUMBLEY-DODSON Psychologist 678-838-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002623) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |