| Atlanta Center For Psychotherapy, Inc. | |
|
300 W Wieuca Rd Ne Bldg. 2 Ste. 200 Atlanta GA 30342-3352 | |
| (404) 255-7929 | |
| (404) 303-0661 |
| Full Name | Atlanta Center For Psychotherapy, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 300 W Wieuca Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Deborah F. Fernhoff (DIRECTOR) |
| Authorized Official Contact | 4042557929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Center For Psychotherapy, Inc. 300 W Wieuca Rd Ne Bldg. 2 Ste. 200 Atlanta GA 30342-3352 Ph: (404) 255-7929 | Atlanta Center For Psychotherapy, Inc. 300 W Wieuca Rd Ne Bldg. 2 Ste. 200 Atlanta GA 30342-3352 Ph: (404) 255-7929 |
| NPI Number | 1306959176 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123102167 |
|---|---|
| Medicare Enrollment ID | O20080228000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306959176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 442 (Georgia) | Primary |
| Provider Name | Deborah F Fernhoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346252418 PECOS PAC ID: 4688758626 Enrollment ID: I20080228000530 |
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