| NPI | 1811064306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E SPRING Licensed Psychologist 770-953-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002353) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-09-18 |