Grace Psychotherapy & Psychological Assesment Services Of North Ga

NPI 1093062606 - Psychologist - 103TC0700X

NPI Details
NPI 1093062606
Enumeration Date 08/14/2012
Last Updated 11/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JOHN F JOHN
Position OWNER
Phone (706) 552-0450
Fax (706) 850-7211
Practice Location
1 HUNTINGTON RD
SUITE 801
ATHENS GA, 30606-7204, US
Phone (706) 552-0450
Fax (706) 850-7211
Business Location
1 HUNTINGTON RD
SUITE 801
ATHENS GA, 30606-7204, US
Phone (706) 552-0450
Fax (706) 850-7211
Toxanomy
Taxonomy Code 103TC0700X
License State Georgia
License Number PSY003032
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According to our database, Grace Psychotherapy & Psychological Assesment Services Of North Ga NPI is 1093062606, taxonomy code is 103TC0700X and license number is PSY003032, license state is located at Georgia. Grace Psychotherapy & Psychological Assesment Services Of North Ga physically located at 1 Huntington Rd, Athens GA, 30606-7204. NPI Number 1033115704 has the healthcare provider type.

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1093062606 NPI number is provided on an as is basis without warranty of any kind. 1093062606 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Psychotherapy & Psychological Assesment Services Of North Ga are for informational purposes only.