Corcair Pyschological Services, Llc

NPI 1124310727 - Psychologist - 103TC0700X

NPI Details
NPI 1124310727
Enumeration Date 05/14/2011
Last Updated 05/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JILL C JILL
Position OWNER
Phone (404) 542-5287
Fax (888) 485-5215
Practice Location
235 E PONCE DE LEON AVE
SUITE 110
DECATUR GA, 30030-3452, US
Phone (404) 542-5287
Fax (888) 485-5215
Business Location
235 E PONCE DE LEON AVE
SUITE 110
DECATUR GA, 30030-3452, US
Phone (404) 542-5287
Fax (888) 485-5215
Toxanomy
Taxonomy Code 103TC0700X
License State Georgia
License Number PSY003030
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According to our database, Corcair Pyschological Services, Llc NPI is 1124310727, taxonomy code is 103TC0700X and license number is PSY003030, license state is located at Georgia. Corcair Pyschological Services, Llc physically located at 235 E Ponce De Leon Ave, Decatur GA, 30030-3452. NPI Number 1033115704 has the healthcare provider type.

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1124310727 NPI number is provided on an as is basis without warranty of any kind. 1124310727 is maintained by the National Plan & Provider Enumeration System. The contents of Corcair Pyschological Services, Llc are for informational purposes only.