| Joni E Prince Phd Pc | |
|
6065 Roswell Rd Ste 515 Atlanta GA 30328-4015 | |
| (404) 461-9067 | |
| (404) 461-9067 |
| Full Name | Joni E Prince Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 6065 Roswell Rd Ste 515, Atlanta, Georgia |
| Authorized Official Name and Position | Joni E Prince (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4044619067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joni E Prince Phd Pc 1185 Hightower Trl Unit 500356 Atlanta GA 31150-3106 Ph: (404) 735-4935 | Joni E Prince Phd Pc 6065 Roswell Rd Ste 515 Atlanta GA 30328-4015 Ph: (404) 461-9067 |
| NPI Number | 1639286198 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 1254586530 |
|---|---|
| Medicare Enrollment ID | O20130313000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639286198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1723 (Georgia) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Joni E Prince |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750496675 PECOS PAC ID: 7517994072 Enrollment ID: I20050726001022 |
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