North Georgia Psychological Consultants
Psychologist in Roswell, GA. Organization (NPI-2).
NPI number1174852214
StatusActive
Last updated in NPPESDec 21, 2009
Details
- NPI
- 1174852214
- Entity type
- Organization (NPI-2)
- Legal business name
- North Georgia Psychological Consultants
- Organization subpart
- No
- Enumeration date
- Dec 21, 2009
- Last updated
- Dec 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1522 | GA | Yes |
Practice location
11755 Pointe Pl Ste BRoswell, GA 30076-4656
Phone 678-992-0089
Mailing address
11755 Pointe Pl Ste BRoswell, GA 30076-4656
Phone 678-992-0089
Authorized official
Fred Fraser
President
6789920089
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