| NPI | 1669597134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PERRY PERLOW Member 770-953-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 1637) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 1637) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 1637) | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |