| The Parent Child Practice | |
|
2751 Buford Hwy Ne Ste 410 Atlanta GA 30324-5457 | |
| (404) 507-6656 | |
| Not Available |
| Full Name | The Parent Child Practice |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2751 Buford Hwy Ne Ste 410, Atlanta, Georgia |
| Authorized Official Name and Position | Decia N Dixon (OWNER) |
| Authorized Official Contact | 6786491940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Parent Child Practice 2751 Buford Hwy Ne Ste 410 Atlanta GA 30324-5457 Ph: (678) 649-1940 | The Parent Child Practice 2751 Buford Hwy Ne Ste 410 Atlanta GA 30324-5457 Ph: (404) 507-6656 |
| NPI Number | 1609385673 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609385673 | NPI | - | NPPES |
| 003125580A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003490 (Georgia) | Primary |
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