Maria Averbukh
Psychologist in Roswell, GA. Individual provider (NPI-1).
NPI number1295480408
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1295480408
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Maria Averbukh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2022
- Certification date
- Feb 11, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
12090 Wexford OverlookRoswell, GA 30075-1454
Phone 215-512-1231
Mailing address
12090 Wexford OverlookRoswell, GA 30075-1454
Phone 215-512-1231
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