Psychology Innovations, P.c. | |
11195 Hembree Springs Dr Roswell GA 30076-1233 | |
(770) 754-0751 | |
Not Available |
Full Name | Psychology Innovations, P.c. |
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Speciality | Psychologist |
Location | 11195 Hembree Springs Dr, Roswell, Georgia |
Authorized Official Name and Position | Lynn Mary Karjala (PRESIDENT) |
Authorized Official Contact | 7707540751 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychology Innovations, P.c. Po Box 1150 Roswell GA 30077-1150 Ph: (770) 754-0751 | Psychology Innovations, P.c. 11195 Hembree Springs Dr Roswell GA 30076-1233 Ph: (770) 754-0751 |
NPI Number | 1598095812 |
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Provider Enumeration Date | 01/08/2010 |
Last Update Date | 07/06/2023 |
Certification Date | 07/06/2023 |
Medicare PECOS PAC ID | 9234268756 |
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Medicare Enrollment ID | O20100521000363 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598095812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PSY001128 (Georgia) | Primary |
Provider Name | Lynn M Karjala |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477698546 PECOS PAC ID: 0143240317 Enrollment ID: I20051202000153 |
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