is a Psychologist in Blairsville, Georgia. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for is 1043360324. The last update date is .
's current location address is Po Box 2761, Blairsville, Georgia. You can contact this provider via phone number 7067816035 and fax number 7063746451. The mailing address for is Po Box 2761, Blairsville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 2761, Blairsville, Georgia |
| Phone Number | 7067816035 |
| Fax Number | 7063746451 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043360324 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 2761 |
|---|---|
| City | Blairsville |
| State | Georgia (GA) |
| Post Code | 305142761 |
| Phone Number | 7067816035 |
| Fax Number | 7063746451 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY001183 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000577596A | GA | -- | |
| 600006850 | MAGELLAN | ||
| 10058276 | AMERIGROUP |
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