Cheryl Coletta Psy D Pc | |
125 Townpark Dr Nw Ste 300 Kennesaw GA 30144-3231 | |
(561) 279-5599 | |
Not Available |
Full Name | Cheryl Coletta Psy D Pc |
---|---|
Speciality | Psychologist |
Location | 125 Townpark Dr Nw Ste 300, Kennesaw, Georgia |
Authorized Official Name and Position | Cheryl Coletta (OWNER/PRESIDENT) |
Authorized Official Contact | 5612795599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cheryl Coletta Psy D Pc 125 Townpark Dr Nw Ste 300 Kennesaw GA 30144-3231 Ph: (561) 279-5599 | Cheryl Coletta Psy D Pc 125 Townpark Dr Nw Ste 300 Kennesaw GA 30144-3231 Ph: (561) 279-5599 |
NPI Number | 1922829068 |
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Provider Enumeration Date | 10/22/2024 |
Last Update Date | 10/22/2024 |
Certification Date | 10/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922829068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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