North Georgia Psychological Consultants | |
11755 Pointe Pl Ste B Roswell GA 30076-4656 | |
(678) 992-0089 | |
Not Available |
Full Name | North Georgia Psychological Consultants |
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Speciality | Psychologist |
Location | 11755 Pointe Pl Ste B, Roswell, Georgia |
Authorized Official Name and Position | Fred Fraser (PRESIDENT) |
Authorized Official Contact | 6789920089 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Georgia Psychological Consultants 11755 Pointe Pl Ste B Roswell GA 30076-4656 Ph: (678) 992-0089 | North Georgia Psychological Consultants 11755 Pointe Pl Ste B Roswell GA 30076-4656 Ph: (678) 992-0089 |
NPI Number | 1174852214 |
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Provider Enumeration Date | 12/21/2009 |
Last Update Date | 12/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174852214 | NPI | - | NPPES |
1522 | Other | GA | LICENSED PSYCHOLOGIST |
2282 | Other | GA | LICENSED PROFESSIONAL COUNSELOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1522 (Georgia) | Primary |
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