| NPI | 1619110921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI ANN HALLA-BAUER Psychologist/Owner 706-885-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003092) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |