| NPI | 1447584578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE ANGELA THOMAS Licensed Psychologist/Owner 770-216-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY#2936) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA PSY#2936) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY#2936) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2010-03-17 |