| Marc Isralsky,ph.d. | |
|
840 Church St Ne Bldg. F Marietta GA 30060-8936 | |
| (770) 428-8417 | |
| (770) 565-3090 |
| Full Name | Marc Isralsky,ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 840 Church St Ne, Marietta, Georgia |
| Authorized Official Name and Position | Marc Isralsky (PSYCHOLOGIST) |
| Authorized Official Contact | 7704288417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Isralsky,ph.d. 840 Church St Ne Bldg. F Marietta GA 30060-8936 Ph: (770) 428-8417 | Marc Isralsky,ph.d. 840 Church St Ne Bldg. F Marietta GA 30060-8936 Ph: (770) 428-8417 |
| NPI Number | 1780617159 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780617159 | NPI | - | NPPES |
| 00341404A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1090 (Georgia) | Primary |
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