| Chattahoochee Child Psychology | |
|
430 Prior Street Ne Gainesville GA 30501 | |
| (678) 971-5355 | |
| (678) 971-5359 |
| Full Name | Chattahoochee Child Psychology |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 430 Prior Street Ne, Gainesville, Georgia |
| Authorized Official Name and Position | Kristen W Green (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6789715355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chattahoochee Child Psychology 430 Prior Street Ne Gainesville GA 30501 Ph: (678) 971-5355 | Chattahoochee Child Psychology 430 Prior Street Ne Gainesville GA 30501 Ph: (678) 971-5355 |
| NPI Number | 1487986493 |
|---|---|
| Provider Enumeration Date | 02/02/2010 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487986493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3114 (Georgia) | Primary |
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