| NPI | 1740413129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E ATKINSON Licensed Psychologist 770-439-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY 001400) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |