| Kimberly Smiley, Psy.d. | |
|
1827 Powers Ferry Road, Building 22 Atlanta GA 30339 | |
| (770) 953-4744 | |
| (770) 953-4640 |
| Full Name | Kimberly Smiley, Psy.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1827 Powers Ferry Road, Building 22, Atlanta, Georgia |
| Authorized Official Name and Position | Kimberly Smiley (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7709534744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Smiley, Psy.d. 1827 Powers Ferry Road, Building 22 Atlanta GA 30339 Ph: (770) 953-4744 | Kimberly Smiley, Psy.d. 1827 Powers Ferry Road, Building 22 Atlanta GA 30339 Ph: (770) 953-4744 |
| NPI Number | 1568865830 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568865830 | NPI | - | NPPES |
| 501804875A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002828 (Georgia) | Primary |
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