Int. Center For Mediated Learning Cognitive Education Systems | |
800 Old Roswell Lakes Pkwy Suite 200 Roswell GA 30076-1667 | |
(770) 640-1650 | |
Not Available |
Full Name | Int. Center For Mediated Learning Cognitive Education Systems |
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Speciality | Psychologist |
Location | 800 Old Roswell Lakes Pkwy, Roswell, Georgia |
Authorized Official Name and Position | Mogens Reimer Jensen (DIRECTOR) |
Authorized Official Contact | 7706401650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Int. Center For Mediated Learning Cognitive Education Systems 300 Colonial Center Pkwy Suite 100 Roswell GA 30076-4899 Ph: (770) 640-1650 | Int. Center For Mediated Learning Cognitive Education Systems 800 Old Roswell Lakes Pkwy Suite 200 Roswell GA 30076-1667 Ph: (770) 640-1650 |
NPI Number | 1225242803 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 01/27/2011 |
Identifier | Type | State | Issuer |
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1225242803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 001343 (Georgia) | Primary |
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