NPI | 1154442903 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA P BUCHANAN Owner 770-458-8711 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2007-04-02 |
Last Update Date | 2012-03-05 |