Jill Koval, PHD | |
2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | |
(866) 327-2166 | |
(404) 350-7694 |
Full Name | Jill Koval |
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Gender | Female |
Speciality | Clinical Psychologist |
Experience | 41 Years |
Location | 2020 Peachtree Rd Nw, Atlanta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023041027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 001620 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shepherd Center, Inc. | 1052301777 | 44 |
Entity Name | Shepherd Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043311715 PECOS PAC ID: 1052301777 Enrollment ID: O20040514000768 |
Mailing Address | Practice Location Address |
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Jill Koval, PHD 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 Ph: (866) 327-2166 | Jill Koval, PHD 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 Ph: (866) 327-2166 |
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