NPI | 1821214404 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY L ALDERSON President 404-668-1331 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 2514) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 2514) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |