NPI | 1588876221 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD SHOOK Licensed Psychologist 770-514-0111 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY1908) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2020-08-22 |