| NPI | 1215346622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHILEE ANN CALDEIRA Clinical Psychologist 678-748-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016933) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |