| Ashley N. Pettoni, Psy.d., Pc | |
|
485 Huntington Rd 201 Athens GA 30606-1861 | |
| (706) 546-8440 | |
| Not Available |
| Full Name | Ashley N. Pettoni, Psy.d., Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 485 Huntington Rd, Athens, Georgia |
| Authorized Official Name and Position | Ashley N Pettoni (PSYCHOLOGIST) |
| Authorized Official Contact | 4045500388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley N. Pettoni, Psy.d., Pc 2625 Piedmont Rd Ne 56-298 Atlanta GA 30324-3086 Ph: () - | Ashley N. Pettoni, Psy.d., Pc 485 Huntington Rd 201 Athens GA 30606-1861 Ph: (706) 546-8440 |
| NPI Number | 1851626105 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 10/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851626105 | NPI | - | NPPES |
| 364591572A | Medicaid | GA | |
| 364591572B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY003250 (Georgia) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY003250 (Georgia) | Secondary |
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