Premier Psychological Center, Inc. | |
2268 Mount Zion Rd Jonesboro GA 30236-2528 | |
(770) 603-3400 | |
(770) 603-3404 |
Full Name | Premier Psychological Center, Inc. |
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Speciality | Psychologist - Clinical |
Location | 2268 Mount Zion Rd, Jonesboro, Georgia |
Authorized Official Name and Position | Valerie Mcadams (PSYCHOLOGIST) |
Authorized Official Contact | 7706033400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Psychological Center, Inc. 2268 Mount Zion Rd Jonesboro GA 30236-2528 Ph: (770) 603-3400 | Premier Psychological Center, Inc. 2268 Mount Zion Rd Jonesboro GA 30236-2528 Ph: (770) 603-3400 |
NPI Number | 1962645796 |
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Provider Enumeration Date | 04/09/2009 |
Last Update Date | 06/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962645796 | NPI | - | NPPES |
000884078B | Medicaid | GA | |
000900589D | Medicaid | GA | |
824394587A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY002435 (Georgia) | Primary |
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