| North Atlanta Neuropsychology, Llc | |
|
1134 Satellite Blvd Nw Suite 100a Suwanee GA 30024-4370 | |
| (678) 878-3559 | |
| (678) 878-3556 |
| Full Name | North Atlanta Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1134 Satellite Blvd Nw, Suwanee, Georgia |
| Authorized Official Name and Position | Norman Lee (OWNER) |
| Authorized Official Contact | 4702975114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Atlanta Neuropsychology, Llc 1134 Satellite Blvd Nw Suite 100a Suwanee GA 30024-4370 Ph: (678) 878-3559 | North Atlanta Neuropsychology, Llc 1134 Satellite Blvd Nw Suite 100a Suwanee GA 30024-4370 Ph: (678) 878-3559 |
| NPI Number | 1881014801 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/21/2016 |
| Medicare PECOS PAC ID | 2062645401 |
|---|---|
| Medicare Enrollment ID | O20140509000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881014801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY003287 (Georgia) | Primary |
| Provider Name | Norman Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689736175 PECOS PAC ID: 9234362674 Enrollment ID: I20140509000209 |
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