| NPI | 1700190600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVORAH A GIFFEN Psychologist 404-558-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY001764) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |