| Dunwoody Psychological Association Inc. | |
|
11755 Pointe Pl Suite B Roswell GA 30076-4636 | |
| (770) 521-8700 | |
| (770) 772-6425 |
| Full Name | Dunwoody Psychological Association Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 11755 Pointe Pl, Roswell, Georgia |
| Authorized Official Name and Position | Eugene Lunsford (REGISTERED AGENT) |
| Authorized Official Contact | 7704847773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dunwoody Psychological Association Inc. 150 Wrights Mill Pl Alpharetta GA 30022-1912 Ph: () - | Dunwoody Psychological Association Inc. 11755 Pointe Pl Suite B Roswell GA 30076-4636 Ph: (770) 521-8700 |
| NPI Number | 1073645735 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618390923 |
|---|---|
| Medicare Enrollment ID | O20200706000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073645735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002851 (Georgia) | Primary |
| Provider Name | Valjean M Whitlow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932231677 PECOS PAC ID: 0941573935 Enrollment ID: I20170913003991 |
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