| NPI | 1295898476 |
|---|---|
| Former Legal Business Name | MARIA E GANGAROSA-EMERSON, PHD, PC |
| Entity Type | Organization |
| Authorized Contact | MARIA E GANGAROSA EMERSON Owner 706-447-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 2381) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA 2381) |
| 235Z00000X Speech-Language Pathologist, | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-04-03 |