| Newnan Psychological Services | |
|
45b Sutherland Dr Newnan GA 30263-1455 | |
| (770) 683-3512 | |
| (770) 683-3513 |
| Full Name | Newnan Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 45b Sutherland Dr, Newnan, Georgia |
| Authorized Official Name and Position | Tony Alan Johnson (CEO/PSYCHOLOGIST) |
| Authorized Official Contact | 7706833512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newnan Psychological Services 45b Sutherland Dr Newnan GA 30263-1455 Ph: (770) 683-3512 | Newnan Psychological Services 45b Sutherland Dr Newnan GA 30263-1455 Ph: (770) 683-3512 |
| NPI Number | 1235306663 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235306663 | NPI | - | NPPES |
| 000609089C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1788 (Georgia) | Primary |
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