Dr Anna Wise, PHD | |
12 Executive Park Dr Ne Ste 300, Atlanta, GA 30329-2206 | |
(404) 727-4592 | |
(330) 678-3677 |
Full Name | Dr Anna Wise |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 12 Executive Park Dr Ne Ste 300, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013410398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY004597 (Georgia) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Mailing Address | Practice Location Address |
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Dr Anna Wise, PHD 12 Executive Park Dr Ne Ste 300, Atlanta, GA 30329-2206 Ph: (404) 727-4592 | Dr Anna Wise, PHD 12 Executive Park Dr Ne Ste 300, Atlanta, GA 30329-2206 Ph: (404) 727-4592 |
Dr. Ralph Norman Allsopp, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5590 Long Island Dr Nw, Atlanta, GA 30327 Phone: 404-909-2398 Fax: 404-256-9121 | |
Dr. George H. Williams, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34 Lenox Pointe, Atlanta, GA 30324 Phone: 404-264-9797 Fax: 404-264-0743 | |
Dr. Carole A. A. Kant, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1340 Fernwood Circle, Atlanta, GA 30319 Phone: 404-240-0243 | |
Jessica Maples Keller, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 Executive Park Dr Ne Ste 300, Atlanta, GA 30329 Phone: 404-778-2017 | |
Dr. Sigrid Y Elston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2941 Piedmont Rd Ne, Suite F, Atlanta, GA 30305 Phone: 404-869-9474 Fax: 404-869-6421 | |
Jennifer Stapel-wax, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1920 Briarcliff Rd Ne, Atlanta, GA 30329 Phone: 404-785-9400 Fax: 404-785-9068 | |
Sobha Fritz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Tullie Rd Ne Fl 3, Atlanta, GA 30329 Phone: 404-785-5437 Fax: 404-785-9111 |