Theresa D Lupcho

NPI 1942429451 - Psychologist - 103TC0700X

NPI Details
NPI 1942429451
Gender Female
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1050 CROWN POINTE PKWY
SUITE 295
ATLANTA GA, 30338-7707, US
Phone (866) 325-5434
Fax (866) 325-5340
Business Location
6300 MOSELEY DIXON RD
APT. 206N
MACON GA, 31220-8400, US
Phone (866) 325-5434
Fax (866) 325-5340
Toxanomy
Taxonomy Code 103TC0700X
License State Georgia
License Number PSY002914
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According to our database, Theresa D Lupcho NPI is 1942429451, taxonomy code is 103TC0700X and license number is PSY002914, license state is located at Georgia. Theresa D Lupcho physically located at 1050 Crown Pointe Pkwy, Atlanta GA, 30338-7707. NPI Number Theresa D Lupcho has the Individual type.

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1942429451 NPI number is provided on an as is basis without warranty of any kind. 1942429451 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa D Lupcho are for informational purposes only.