| NPI | 1790993814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANNE AVINGER Licensed Psychologist 706-546-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA PSY003056) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-06-21 |