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ASHLEY N. PETTONI PSY.D. PC NPI 1851626105


NPI Information

NPI: 1851626105
Provider Name: ASHLEY N. PETTONI, PSY.D., PC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
485 HUNTINGTON RD
201
ATHENS, GA
ZIP 30606
Phone: (706) 546-8440
Get Directions

ASHLEY N. PETTONI, PSY.D., PC is a clinical neuropsychologist in Athens, GA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. ASHLEY N. PETTONI, PSY.D., PC NPI is 1851626105. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

485 HUNTINGTON RD
201
ATHENS, GA
ZIP 30606-861
Phone: (706) 546-8440

The provider's authorized official is Ashley N Pettoni .
The authorized official title is Psychologist and has the following contact phone number (404) 550-0388.

The enumeration date for this NPI number is 10/5/2009 and was last updated on 10/5/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY003250GEORGIANo
2103G00000XClinical NeuropsychologistPSY003250GEORGIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1364591572BMEDICAIDGEORGIA
2364591572AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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