Alliance For Change in Duluth - Psychologist
Alliance For Change - NPI 1689852758
Alliance For Change is a Psychologist in Duluth, Georgia. Alliance For Change practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Alliance For Change is 1689852758. The last update date is 2008-01-31.
Alliance For Change's current location address is 2250 Satellite Blvd, Duluth, Georgia. You can contact this provider via phone number 7708131544 and fax number 7708131545. The mailing address for Alliance For Change is 2250 Satellite Blvd, Duluth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alliance For Change |
|---|---|
| Address | 2250 Satellite Blvd, Duluth, Georgia |
| Phone Number | 7708131544 |
| Fax Number | 7708131545 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Rosenau E. Douglas |
| Credentials | ED.D. |
| Telephone Number | 7708131544 |
NPI Number Detail
| NPI Number | 1689852758 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 2250 Satellite Blvd |
|---|---|
| City | Duluth |
| State | Georgia (GA) |
| Post Code | 300974906 |
| Phone Number | 7708131544 |
| Fax Number | 7708131545 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1209 |
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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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What is the unique identifier code issued to Alliance For Change by the Centers for Medicare & Medicaid Services?
The Alliance For Change has been assigned the NPI (National Provider Identifier) 1689852758. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Alliance For Change is physically located?
The Alliance For Change is physically situated at the following address: 2250 Satellite Blvd, Duluth, GA, 300974906.
What is the Alliance For Change's area of specialization and corresponding taxonomy classification?
The Alliance For Change's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1689852758 to Alliance For Change?
The Alliance For Change received its 1689852758 assignment from the Centers for Medicare & Medicaid Services on 2008-01-31.
When was the information pertaining to Alliance For Change most recently updated or revised?
The details related to Alliance For Change, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-31.