MICHELLE R BROTH

ATLANTA, GA
NPI1699844514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY002969)
Enumeration Date2006-11-07
Last Update Date2007-07-18
Business Address
-- MICHELLE R BROTH PhD
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308-2012
Phone number: 404-616-9830
Mailing Address
-- MICHELLE R BROTH PhD
336 MIMOSA DR
DECATUR, GA 30030-3734
Phone number: 404-616-9830