| NPI | 1639439201 |
|---|---|
| Other Name | PEGAH MOGHADDAM, PSY.D. |
| Entity Type | Organization |
| Authorized Contact | PEGAH MOGHADDAM Director 678-591-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003405) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2013-03-04 |