| A. Shayne Abelkop Ph.d. Pc | |
|
1551 Jennings Mill Rd Unit 2200a Watkinsville GA 30677-7270 | |
| (706) 431-3711 | |
| (888) 425-0590 |
| Full Name | A. Shayne Abelkop Ph.d. Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1551 Jennings Mill Rd Unit 2200a, Watkinsville, Georgia |
| Authorized Official Name and Position | A Shayne Abelkop (LICENSED PSYCHOLOGIST DIRECTOR) |
| Authorized Official Contact | 7064313711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Shayne Abelkop Ph.d. Pc 1551 Jennings Mill Rd Unit 2200a Watkinsville GA 30677-7270 Ph: (706) 431-3711 | A. Shayne Abelkop Ph.d. Pc 1551 Jennings Mill Rd Unit 2200a Watkinsville GA 30677-7270 Ph: (706) 431-3711 |
| NPI Number | 1043357874 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043357874 | NPI | - | NPPES |
| 133309172A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY#002799 (Georgia) | Primary |
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