Gwinnett Psychology, Llc

NPI 1013319847 - Psychologist - 103T00000X

NPI Details
NPI 1013319847
Enumeration Date 09/24/2014
Last Updated 09/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CASSIN CASSIN
Position ORGANIZER/PSYCHOLOGIST
Phone (507) 722-2402
Fax (770) 962-1886
Practice Location
1805 HERRINGTON RD
BLDG. 2
LAWRENCEVILLE GA, 30043-7987, US
Phone (507) 722-2402
Fax (770) 962-1886
Business Location
1805 HERRINGTON RD
BLDG. 2
LAWRENCEVILLE GA, 30043-7987, US
Phone (507) 722-2402
Fax (770) 962-1886
Toxanomy
Taxonomy Code 103T00000X
License State Georgia
License Number PSY0003641
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According to our database, Gwinnett Psychology, Llc NPI is 1013319847, taxonomy code is 103T00000X and license number is PSY0003641, license state is located at Georgia. Gwinnett Psychology, Llc physically located at 1805 Herrington Rd, Lawrenceville GA, 30043-7987. NPI Number 1033115704 has the healthcare provider type.

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1013319847 NPI number is provided on an as is basis without warranty of any kind. 1013319847 is maintained by the National Plan & Provider Enumeration System. The contents of Gwinnett Psychology, Llc are for informational purposes only.