| NPI | 1851626105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY N PETTONI Psychologist 404-550-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY003250) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: GA PSY003250) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |