| Stephanie Leedy-ellis, Ph.d., Llc | |
|
3949 Holcomb Bridge Rd Suite 200 Norcross GA 30092-2207 | |
| (404) 231-3364 | |
| (770) 813-7446 |
| Full Name | Stephanie Leedy-ellis, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3949 Holcomb Bridge Rd, Norcross, Georgia |
| Authorized Official Name and Position | Stephanie Leedy-ellis (MANAGER) |
| Authorized Official Contact | 4042313364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Leedy-ellis, Ph.d., Llc 3949 Holcomb Bridge Rd Suite 200 Norcross GA 30092-2207 Ph: (404) 231-3364 | Stephanie Leedy-ellis, Ph.d., Llc 3949 Holcomb Bridge Rd Suite 200 Norcross GA 30092-2207 Ph: (404) 231-3364 |
| NPI Number | 1962617183 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962617183 | NPI | - | NPPES |
| 1447346101 | Other | GA | INDIVIDUAL PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1688 (Georgia) | Primary |
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