| NPI | 1710144001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J MCINTOSH Principal 770-493-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY000316) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |