| Psychology & Psychotherapy | |
|
3905 Johns Creek Ct Suite 240 Suwanee GA 30024-1224 | |
| (678) 995-5398 | |
| Not Available |
| Full Name | Psychology & Psychotherapy |
|---|---|
| Speciality | Psychologist |
| Location | 3905 Johns Creek Ct, Suwanee, Georgia |
| Authorized Official Name and Position | Kathy Clark (ADMINISTRATOR / THERAPIST) |
| Authorized Official Contact | 6789955398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology & Psychotherapy 3905 Johns Creek Ct Suite 240 Suwanee GA 30024-1224 Ph: (678) 995-5398 | Psychology & Psychotherapy 3905 Johns Creek Ct Suite 240 Suwanee GA 30024-1224 Ph: (678) 995-5398 |
| NPI Number | 1720496656 |
|---|---|
| Provider Enumeration Date | 07/23/2014 |
| Last Update Date | 07/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720496656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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