| NPI | 1952958522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY BIPIN SHAH Licensed Psychologist/Owner 404-500-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |