| NPI | 1902078694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH TRENT Licensed Psychologist 706-546-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA 2773) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |