Gwinnett Psychology, Llc | |
1805 Herrington Rd Bldg. 2 Lawrenceville GA 30043-7987 | |
(507) 722-2402 | |
(770) 962-1886 |
Full Name | Gwinnett Psychology, Llc |
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Speciality | Psychologist |
Location | 1805 Herrington Rd, Lawrenceville, Georgia |
Authorized Official Name and Position | Cassin Cole-straub (ORGANIZER/PSYCHOLOGIST) |
Authorized Official Contact | 5077222402 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gwinnett Psychology, Llc 1805 Herrington Rd Bldg. 2 Lawrenceville GA 30043-7987 Ph: (507) 722-2402 | Gwinnett Psychology, Llc 1805 Herrington Rd Bldg. 2 Lawrenceville GA 30043-7987 Ph: (507) 722-2402 |
NPI Number | 1013319847 |
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Provider Enumeration Date | 09/24/2014 |
Last Update Date | 09/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013319847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY0003641 (Georgia) | Primary |
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