| Footprints Psychological Services Llc | |
|
1090 Founders Blvd. Ste B Athens GA 30606 | |
| (706) 548-8697 | |
| (706) 548-8698 |
| Full Name | Footprints Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1090 Founders Blvd., Athens, Georgia |
| Authorized Official Name and Position | Carolyn Patricia Barnes (MANAGER/LICENSED CLINICAL PSYCHOLOG) |
| Authorized Official Contact | 7065488697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Psychological Services Llc 1090 Founders Blvd. Ste B Athens GA 30606 Ph: (706) 548-8697 | Footprints Psychological Services Llc 1090 Founders Blvd. Ste B Athens GA 30606 Ph: (706) 548-8697 |
| NPI Number | 1487904454 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487904454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003585 (Georgia) | Primary |
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