| NPI | 1285024810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L. ANDERSON Licensed Clinical Psychologist 706-530-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003783) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |