NPI | 1669597134 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN PERRY PERLOW Member 770-953-4744 |
Organization Subpart ? | No |
Primary Taxonomy | 103TF0000X Psychologist, Family |
Additional Taxonomies | 103T00000X Psychologist (Licence: GA 1637) |
103TC0700X Psychologist, Clinical (Licence: GA 1637) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 1637) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2025-09-11 |