Organization
JOSEPH T ELDER, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH THOMAS ELDER PSY.D. (CLINICAL NEUROPSYCHOLOGIST)
(404) 493-4381
Entity
Organization
Contact information
Practice address
1439 MCLENDON DR STE D, DECATUR, GA 30033-1841
(404) 493-4381
(770) 934-3280
Mailing address
PO BOX 407, TUCKER, GA 30085-0407
(404) 493-4381
(770) 934-3280
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY002698
GA
Other
Enumeration date
05/14/2009
Last updated
08/15/2009
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