# NEUROSMART PSYCHOLOGICAL ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NeuroSmart, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639290299
- **Authorized official:** DR. KATHRYN C BLACK PH.D. (PRESIDENT)
- **Authorized official phone:** (770) 889-2848

## Contact information

- **Practice address:** 309 PIRKLE FERRY RD, SUITE A-200, CUMMING, GA 30040-2546
- **Practice address phone:** (770) 889-2848
- **Mailing address:** 309 PIRKLE FERRY RD, SUITE A-200, CUMMING, GA 30040-2546
- **Mailing address phone:** (770) 889-2848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | GA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | GA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 04/14/2011