Psychogenesis, Inc.

NPI 1083779763 - Psychologist - 103TC0700X

NPI Details
NPI 1083779763
Enumeration Date 12/24/2006
Last Updated 12/03/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JUDITH JUDITH
Position PRESIDENT
Phone (706) 232-5544
Fax (888) 543-1173
Practice Location
519 BROAD ST
SUITE 202
ROME GA, 30161-1734, US
Phone (706) 232-5544
Fax (888) 543-1173
Business Location
2 WINDSOR RD SW
ROME GA, 30165-8555, US
Phone (706) 232-5544
Fax (706) 235-8083
Toxanomy
Taxonomy Code 103TC0700X
License State Georgia
License Number 2075
Remove 1083779763 NPI Number
 

According to our database, Psychogenesis, Inc. NPI is 1083779763, taxonomy code is 103TC0700X and license number is 2075, license state is located at Georgia. Psychogenesis, Inc. physically located at 519 Broad St, Rome GA, 30161-1734. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083779763 NPI number is provided on an as is basis without warranty of any kind. 1083779763 is maintained by the National Plan & Provider Enumeration System. The contents of Psychogenesis, Inc. are for informational purposes only.