| NPI | 1306959176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH F. FERNHOFF Director 404-255-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 442) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |