| NPI | 1407069685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ALAN WEINSTEIN Owner 770-982-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 2257) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 2257) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |