NORTHSIDE PSYCHOLOGICAL SERVICES INC. NPI 1568527505

NPI Information

NORTHSIDE PSYCHOLOGICAL SERVICES, INC. is a mental health counselor in Alpharetta, GA. NORTHSIDE PSYCHOLOGICAL SERVICES, INC. NPI is 1568527505. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5755 N POINT PKWY
SUITE 256
ALPHARETTA, GA
ZIP 30022-142
Phone: (770) 667-3877
Fax: (770) 667-3879

The provider's authorized official is Emily Redman .
The authorized official title is Cio and has the following contact phone number (678) 367-7515.

The CLIA number assigned to this NPI record is 11D2251286 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/27/2006 and was last updated on 10/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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