| Joseph T Elder, Psy.d., P.c. | |
|
1439 Mclendon Dr Ste D Decatur GA 30033-1841 | |
| (404) 493-4381 | |
| (770) 934-3280 |
| Full Name | Joseph T Elder, Psy.d., P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1439 Mclendon Dr Ste D, Decatur, Georgia |
| Authorized Official Name and Position | Joseph Thomas Elder (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 4044934381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph T Elder, Psy.d., P.c. Po Box 407 Tucker GA 30085-0407 Ph: (404) 493-4381 | Joseph T Elder, Psy.d., P.c. 1439 Mclendon Dr Ste D Decatur GA 30033-1841 Ph: (404) 493-4381 |
| NPI Number | 1003040395 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 08/15/2009 |
| Medicare PECOS PAC ID | 2567511926 |
|---|---|
| Medicare Enrollment ID | O20090514000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003040395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY002698 (Georgia) | Primary |
| Provider Name | Joseph T Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518991967 PECOS PAC ID: 4880661628 Enrollment ID: I20040913000421 |
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