Georgia Psychological Consultants | |
600 Kennesaw Ave Nw Suite 300 Marietta GA 30060-6988 | |
(770) 428-6698 | |
Not Available |
Full Name | Georgia Psychological Consultants |
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Speciality | Psychologist |
Location | 600 Kennesaw Ave Nw, Marietta, Georgia |
Authorized Official Name and Position | Leisa Ann Bailey (PRESIDENT/CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7704286698 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Georgia Psychological Consultants 1000 Whitlock Ave Nw Suite 320 Marietta GA 30064-5455 Ph: (770) 428-6698 | Georgia Psychological Consultants 600 Kennesaw Ave Nw Suite 300 Marietta GA 30060-6988 Ph: (770) 428-6698 |
NPI Number | 1891987590 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 3274553805 |
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Medicare Enrollment ID | O20051129000133 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891987590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 999 (Georgia) | Primary |
Provider Name | Leisa A Bailey |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1376695288 PECOS PAC ID: 5193745727 Enrollment ID: I20051129000128 |
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