Amanda Howard Pileski, Phd, Llc | |
851 Highway 441 S Ste 105 Clayton GA 30525-6264 | |
(706) 782-1237 | |
(404) 393-0737 |
Full Name | Amanda Howard Pileski, Phd, Llc |
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Speciality | Psychologist |
Location | 851 Highway 441 S Ste 105, Clayton, Georgia |
Authorized Official Name and Position | Amanda Pileski (OWNER) |
Authorized Official Contact | 7067821237 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amanda Howard Pileski, Phd, Llc 851 Highway 441 S Ste 105 Clayton GA 30525-6264 Ph: (706) 782-1237 | Amanda Howard Pileski, Phd, Llc 851 Highway 441 S Ste 105 Clayton GA 30525-6264 Ph: (706) 782-1237 |
NPI Number | 1831567700 |
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Provider Enumeration Date | 09/09/2015 |
Last Update Date | 12/07/2021 |
Certification Date | 12/07/2021 |
Medicare PECOS PAC ID | 6800151705 |
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Medicare Enrollment ID | O20180524000477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831567700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY003905 (Georgia) | Primary |
Provider Name | Amanda H Pileski |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215206040 PECOS PAC ID: 1254696156 Enrollment ID: I20180614003101 |
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