| Preferred Psychological Servic, Llc | |
|
24 Waleska St Suite 100 Canton GA 30114-2739 | |
| (678) 606-0680 | |
| Not Available |
| Full Name | Preferred Psychological Servic, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 24 Waleska St, Canton, Georgia |
| Authorized Official Name and Position | Eva Diane Martin (MANAGING MEMBER) |
| Authorized Official Contact | 6786060680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Psychological Servic, Llc Po Box 4426 Canton GA 30114-0200 Ph: (678) 303-0380 | Preferred Psychological Servic, Llc 24 Waleska St Suite 100 Canton GA 30114-2739 Ph: (678) 606-0680 |
| NPI Number | 1043581671 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043581671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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