| Psychotherapy And Assessment Services | |
|
629 Dawsonville Hwy Suite 2201 Gainesville GA 30501-2610 | |
| (770) 534-9100 | |
| (770) 534-9104 |
| Full Name | Psychotherapy And Assessment Services |
|---|---|
| Speciality | Psychologist |
| Location | 629 Dawsonville Hwy, Gainesville, Georgia |
| Authorized Official Name and Position | Amy Todd Davis (PRESIDENT) |
| Authorized Official Contact | 7705349100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy And Assessment Services 629 Dawsonville Hwy Suite 2201 Gainesville GA 30501-2610 Ph: (770) 534-9100 | Psychotherapy And Assessment Services 629 Dawsonville Hwy Suite 2201 Gainesville GA 30501-2610 Ph: (770) 534-9100 |
| NPI Number | 1902958341 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3375798168 |
|---|---|
| Medicare Enrollment ID | O20130228000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902958341 | NPI | - | NPPES |
| 00484514C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1575 (Georgia) | Primary |
| Provider Name | Amy T Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962503060 PECOS PAC ID: 5698768687 Enrollment ID: I20040406000520 |
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