| NPI Details | |
|---|---|
| NPI | 1003957879 |
| Enumeration Date | 02/12/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | PAGE G. PAGE |
| Position | OFFICE MANAGER |
| Phone | (404) 321-1441 |
| Fax | (404) 321-5876 |
| Practice Location | |
|---|---|
| 1276 MCCONNELL DR SUITE C DECATUR GA, 30033-3506, US |
|
| Phone | (404) 321-1441 |
| Fax | (404) 321-5876 |
| Business Location | |
|---|---|
| 1276 MCCONNELL DR SUITE C DECATUR GA, 30033-3506, US |
|
| Phone | (404) 321-1441 |
| Fax | (404) 321-5876 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 103G00000X |
| License State | Georgia |
| License Number | PSY000615 |
| Remove 1003957879 NPI Number | |
According to our database, Center For Cognitive Rehabilitation NPI is 1003957879, taxonomy code is 103G00000X and license number is PSY000615, license state is located at Georgia. Center For Cognitive Rehabilitation physically located at 1276 Mcconnell Dr, Decatur GA, 30033-3506. NPI Number 1033115704 has the healthcare provider type.
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1003957879 NPI number is provided on an as is basis without warranty of any kind. 1003957879 is maintained by the National Plan & Provider Enumeration System. The contents of Center For Cognitive Rehabilitation are for informational purposes only.
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