| Gpp | |
|
750 Hammond Dr Bldg 1, Ste 100 Atlanta GA 30328-5532 | |
| (678) 999-3477 | |
| (678) 999-3567 |
| Full Name | Gpp |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 750 Hammond Dr, Atlanta, Georgia |
| Authorized Official Name and Position | Avital K Cohen (CO-OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6789993477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gpp 750 Hammond Dr Bldg 1, Ste 100 Atlanta GA 30328-5532 Ph: (678) 999-3477 | Gpp 750 Hammond Dr Bldg 1, Ste 100 Atlanta GA 30328-5532 Ph: (678) 999-3477 |
| NPI Number | 1104255959 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104255959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3672 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2999 (Georgia) | Primary |
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