PEACHTREE PEDIATRIC PSYCHOLOGY LLC NPI 1861998585

NPI Information

NPI: 1861998585
Provider Name: PEACHTREE PEDIATRIC PSYCHOLOGY, LLC
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
750 HAMMOND DRIVE
BLDG 7, STE 200
ATLANTA, GA
ZIP 30328
Phone: (404) 796-7777
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PEACHTREE PEDIATRIC PSYCHOLOGY, LLC is an intellectual and developmental disabilities in Atlanta, GA. PEACHTREE PEDIATRIC PSYCHOLOGY, LLC NPI is 1861998585. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

750 HAMMOND DRIVE
BLDG 7, STE 200
ATLANTA, GA
ZIP 30328
Phone: (404) 796-7777

The provider's authorized official is Avital K Cohen .
The authorized official title is Licensed Psychologist and has the following contact phone number (404) 796-7777.

The enumeration date for this NPI number is 4/2/2018 and was last updated on 4/2/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	3672	GEORGIA	Yes

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

NPI Synchronization or Removal

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