Psychological Consultants Of Marietta, Pc in Marietta - Marriage & Family Therapist

Psychological Consultants Of Marietta, Pc - NPI 1093802233

Psychological Consultants Of Marietta, Pc is a Marriage & Family Therapist in Marietta, Georgia. Psychological Consultants Of Marietta, Pc practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Psychological Consultants Of Marietta, Pc is 1093802233. The last update date is 2020-08-22.

Psychological Consultants Of Marietta, Pc's current location address is 600 Kennesaw Ave Nw, Marietta, Georgia. You can contact this provider via phone number 7704209448. The mailing address for Psychological Consultants Of Marietta, Pc is 600 Kennesaw Ave Nw, Marietta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Psychological Consultants Of Marietta, Pc
Address 600 Kennesaw Ave Nw, Marietta, Georgia
Phone Number 7704209448
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Roland Manfred Mark
Credentials PH.D.
Telephone Number 7704209448

NPI Number Detail

NPI Number 1093802233
Provider Enumeration Date 2006-10-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 600 Kennesaw Ave Nw
City Marietta
State Georgia (GA)
Post Code 300606988
Phone Number 7704209448
Fax Number

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 897
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00661691A GA --

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FAQs about Psychological Consultants Of Marietta, Pc

What is the unique 10-digit identification code assigned to Psychological Consultants Of Marietta, Pc by the Centers for Medicare & Medicaid Services?

The Psychological Consultants Of Marietta, Pc has been issued the NPI (National Provider Identifier) 1093802233, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Psychological Consultants Of Marietta, Pc is geographically located?

The Psychological Consultants Of Marietta, Pc is physically situated at the following location: 600 Kennesaw Ave Nw, Marietta, GA, 300606988.

What is Psychological Consultants Of Marietta, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Psychological Consultants Of Marietta, Pc is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.

On what date did Psychological Consultants Of Marietta, Pc receive its 1093802233 assignment from the Centers for Medicare & Medicaid Services?

The Psychological Consultants Of Marietta, Pc was assigned its 1093802233 on 2006-10-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Psychological Consultants Of Marietta, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Psychological Consultants Of Marietta, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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