| NPI | 1942790894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A DOREMUS Owner 404-975-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301017346) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |