| NPI | 1306272299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HIGDON Licensed Psychologist 678-595-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002599) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |