| Northside Psychological Services, Inc. | |
|
1395 S Marietta Pkwy Se Bldg. 400, Suite 112 Marietta GA 30067-4440 | |
| (770) 667-3877 | |
| (770) 667-3879 |
| Full Name | Northside Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1395 S Marietta Pkwy Se, Marietta, Georgia |
| Authorized Official Name and Position | Emily Redman (BUSINESS DIRECTOR) |
| Authorized Official Contact | 6783677515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Psychological Services, Inc. Po Box 250 Alpharetta GA 30009-0250 Ph: (770) 667-3877 | Northside Psychological Services, Inc. 1395 S Marietta Pkwy Se Bldg. 400, Suite 112 Marietta GA 30067-4440 Ph: (770) 667-3877 |
| NPI Number | 1184997439 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184997439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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