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PSYCHOLOGICAL SERVICES OF ATLANTA LLC NPI 1922286731


NPI Information

NPI: 1922286731
Provider Name: PSYCHOLOGICAL SERVICES OF ATLANTA, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1770 OLD SPRING HOUSE LN
SUITE #114
ATLANTA, GA
ZIP 30338
Phone: (770) 452-5353
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PSYCHOLOGICAL SERVICES OF ATLANTA, LLC is a clinical psychologist in Atlanta, GA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PSYCHOLOGICAL SERVICES OF ATLANTA, LLC NPI is 1922286731. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1770 OLD SPRING HOUSE LN
SUITE #114
ATLANTA, GA
ZIP 30338-213
Phone: (770) 452-5353
Fax: (770) 452-5363

The provider's authorized official is Dayna M Diaz .
The authorized official title is Licensed Psychologist and has the following contact phone number (770) 452-5353.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 2/4/2008.


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
1103TC2200XPsychologistClinical Child & AdolescentPSY002970GEORGIANo
2103TF0000XPsychologistFamilyPSY002970GEORGIANo
3103TP2701XPsychologistGroup PsychotherapyPSY002970GEORGIANo
4103TC0700XPsychologistClinicalPSY002970GEORGIAYes

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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