Diane C. Sperry, Ph.d., Llc | |
10475 Medlock Bridge Rd Building 300, Suite 315 Johns Creek GA 30097-4433 | |
(678) 935-9567 | |
(678) 935-9568 |
Full Name | Diane C. Sperry, Ph.d., Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 10475 Medlock Bridge Rd, Johns Creek, Georgia |
Authorized Official Name and Position | Diane C. Sperry (REGISTERED AGENT) |
Authorized Official Contact | 6789359567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diane C. Sperry, Ph.d., Llc 10475 Medlock Bridge Rd Building 300, Suite 315 Johns Creek GA 30097-4433 Ph: (678) 935-9567 | Diane C. Sperry, Ph.d., Llc 10475 Medlock Bridge Rd Building 300, Suite 315 Johns Creek GA 30097-4433 Ph: (678) 935-9567 |
NPI Number | 1285805754 |
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Provider Enumeration Date | 03/12/2008 |
Last Update Date | 03/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285805754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | PSY003160 (Georgia) | Primary |
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