| Peach Pediatric Psychological Center | |
|
315 Boulevard Ne Ste 520 Atlanta GA 30312-1266 | |
| (478) 532-6926 | |
| Not Available |
| Full Name | Peach Pediatric Psychological Center |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 315 Boulevard Ne Ste 520, Atlanta, Georgia |
| Authorized Official Name and Position | Tayler Nichole Turnquist (OWNER) |
| Authorized Official Contact | 7066762159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Pediatric Psychological Center 260 Battey Farm Rd Ne Rome GA 30161-8944 Ph: (706) 676-2159 | Peach Pediatric Psychological Center 315 Boulevard Ne Ste 520 Atlanta GA 30312-1266 Ph: (478) 532-6926 |
| NPI Number | 1750088860 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750088860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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