| 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 |