| NPI | 1992960199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SMITH Owner/Psychologist 404-808-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 3053) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA 3053) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: GA 3053) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |