NPI | 1164464814 |
---|---|
Doing Business As | CONNIE STAPLETON PHD |
Entity Type | Organization |
Authorized Contact | CONNIE STAPLETON Psychologist 706-364-5228 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2412) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-08-22 |