| NPI | 1457740474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HALEY GEDDES Clinical Psychologist 678-743-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003728) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |