| Atlanta Center For Family Psychology, Llc | |
|
3325 Paddocks Pkwy Ste 415 Suwanee GA 30024-6059 | |
| (404) 216-0336 | |
| (678) 513-1188 |
| Full Name | Atlanta Center For Family Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3325 Paddocks Pkwy Ste 415, Suwanee, Georgia |
| Authorized Official Name and Position | Micheaux Hall (BILLING SPECIALIST) |
| Authorized Official Contact | 6785130313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Center For Family Psychology, Llc Po Box 720535 Atlanta GA 30358-2535 Ph: (404) 216-0336 | Atlanta Center For Family Psychology, Llc 3325 Paddocks Pkwy Ste 415 Suwanee GA 30024-6059 Ph: (404) 216-0336 |
| NPI Number | 1811298284 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 8921296757 |
|---|---|
| Medicare Enrollment ID | O20101221000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811298284 | NPI | - | NPPES |
| 1184658965 | Other | GA | INDIVIDUAL NPI |
| 1811298284 | Other | GA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 001010 (Georgia) | Primary |
| Provider Name | Barry L Klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184658965 PECOS PAC ID: 9830387661 Enrollment ID: I20101221000765 |
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