| NPI | 1245429984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER WINSTON SKINNER Psychologist 770-253-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 1295) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |