CARISSA BALDERAS

DECATUR, GA
NPI1235627399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY004175)
Enumeration Date2018-04-24
Last Update Date2018-04-24
Business Address
CARISSA BALDERAS PhD
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
CARISSA BALDERAS PhD
5003 FIVE OAKS WAY
TUCKER, GA 30084-8166
Phone number: 562-652-3744