NPI | 1326317488 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL WACHTEL Clinical Psychologist 404-723-5633 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003012) |
Enumeration Date | 2011-12-19 |
Last Update Date | 2024-08-06 |