| Psychological Sciences Inst P.c. | |
|
5955 State Bridge Rd Ste 110 Duluth GA 30097-8228 | |
| (770) 813-0404 | |
| (770) 232-9043 |
| Full Name | Psychological Sciences Inst P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5955 State Bridge Rd Ste 110, Duluth, Georgia |
| Authorized Official Name and Position | Sonya Boswell (BUSINESS MANAGER) |
| Authorized Official Contact | 7708130404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Sciences Inst P.c. 6015 State Bridge Rd Apt 12206 Duluth GA 30097-8225 Ph: (770) 813-0404 | Psychological Sciences Inst P.c. 5955 State Bridge Rd Ste 110 Duluth GA 30097-8228 Ph: (770) 813-0404 |
| NPI Number | 1558695577 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558695577 | NPI | - | NPPES |
| 000609034B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1464 (Georgia) | Primary |
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