| Family Psychology Associates | |
|
516 Ridley Ave Lagrange GA 30240-2234 | |
| (706) 845-1601 | |
| (706) 845-8510 |
| Full Name | Family Psychology Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 516 Ridley Ave, Lagrange, Georgia |
| Authorized Official Name and Position | Kelly Boles Mckay (MANAGER) |
| Authorized Official Contact | 7068451601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychology Associates 516 Ridley Ave Lagrange GA 30240-2234 Ph: (706) 845-1601 | Family Psychology Associates 516 Ridley Ave Lagrange GA 30240-2234 Ph: (706) 845-1601 |
| NPI Number | 1184869299 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 12/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184869299 | NPI | - | NPPES |
| 688606375A | Medicaid | GA | |
| 281868610A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY002670 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY002848 (Georgia) | Primary |
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