NPI | 1205991403 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY MATTHEW DULIN Psychologist 706-339-3783 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002544) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2012-11-21 |