Psychological Consultants Of Marietta, Pc

NPI 1093802233 - Psychologist - 103TC0700X

NPI Details
NPI 1093802233
Enumeration Date 10/09/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK MANFRED MARK
Position PRESIDENT
Phone (770) 420-9448
Fax
Practice Location
600 KENNESAW AVE NW
SUITE 300
MARIETTA GA, 30060-6988, US
Phone (770) 420-9448
Fax
Business Location
600 KENNESAW AVE NW
SUITE 300
MARIETTA GA, 30060-6988, US
Phone (770) 420-9448
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Georgia
License Number 1872
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According to our database, Psychological Consultants Of Marietta, Pc NPI is 1093802233, taxonomy code is 103TC0700X and license number is 1872, license state is located at Georgia. Psychological Consultants Of Marietta, Pc physically located at 600 Kennesaw Ave Nw, Marietta GA, 30060-6988. NPI Number 1033115704 has the healthcare provider type.

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1093802233 NPI number is provided on an as is basis without warranty of any kind. 1093802233 is maintained by the National Plan & Provider Enumeration System. The contents of Psychological Consultants Of Marietta, Pc are for informational purposes only.