| Peachtree Psychotherapy, P.c. | |
|
6740 Jamestown Dr Alpharetta GA 30005-3030 | |
| (404) 735-2399 | |
| (678) 339-1222 |
| Full Name | Peachtree Psychotherapy, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 6740 Jamestown Dr, Alpharetta, Georgia |
| Authorized Official Name and Position | Melissa Dingler (OWNER) |
| Authorized Official Contact | 4047352399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Psychotherapy, P.c. 6740 Jamestown Dr Alpharetta GA 30005-3030 Ph: (404) 735-2399 | Peachtree Psychotherapy, P.c. 6740 Jamestown Dr Alpharetta GA 30005-3030 Ph: (404) 735-2399 |
| NPI Number | 1851414676 |
|---|---|
| Provider Enumeration Date | 04/08/2007 |
| Last Update Date | 07/11/2011 |
| Medicare PECOS PAC ID | 1355519919 |
|---|---|
| Medicare Enrollment ID | O20110726000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851414676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 2310 (Georgia) | Primary |
| Provider Name | Melissa Dingler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811001837 PECOS PAC ID: 9931195187 Enrollment ID: I20040422001033 |
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