| NPI | 1548310246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F DOVERSPIKE President 770-913-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 647) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 647) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |