| Sbs Psychological Associates | |
|
485 S Perry St Suite D Lawrenceville GA 30045-4923 | |
| (678) 205-0838 | |
| Not Available |
| Full Name | Sbs Psychological Associates |
|---|---|
| Speciality | Psychologist |
| Location | 485 S Perry St, Lawrenceville, Georgia |
| Authorized Official Name and Position | Shirley Boone-sanford (CEO) |
| Authorized Official Contact | 6782050838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbs Psychological Associates Po Box 2133 Lawrenceville GA 30046-2133 Ph: () - | Sbs Psychological Associates 485 S Perry St Suite D Lawrenceville GA 30045-4923 Ph: (678) 205-0838 |
| NPI Number | 1437323029 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Medicare PECOS PAC ID | 7214985332 |
|---|---|
| Medicare Enrollment ID | O20050105000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437323029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 002451 (Georgia) | Primary |
| Provider Name | Shirley A Boone-sanford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609837616 PECOS PAC ID: 7911955034 Enrollment ID: I20050106000655 |
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