| Child & Adolescent Resource, P.c. | |
|
1200 Confederate Rd Madison GA 30650-2252 | |
| (706) 342-3130 | |
| Not Available |
| Full Name | Child & Adolescent Resource, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1200 Confederate Rd, Madison, Georgia |
| Authorized Official Name and Position | Diedrea Claxton (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7063423130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Adolescent Resource, P.c. 1200 Confederate Rd Madison GA 30650-2252 Ph: (706) 342-3130 | Child & Adolescent Resource, P.c. 1200 Confederate Rd Madison GA 30650-2252 Ph: (706) 342-3130 |
| NPI Number | 1962576314 |
|---|---|
| Provider Enumeration Date | 11/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962576314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1935 (Georgia) | Primary |
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