| NPI | 1598814725 |
|---|---|
| Professional Name | PSYCHOLOGICAL SPECIALISTS OF AUGUSTA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY000873) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-09 |