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Individual

DR. HELEN BARNES VANTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
550 KENNESAW AVE NW, STE 700, MARIETTA, GA 30060-6987
(770) 424-0033
(770) 424-7744
Mailing address
550 KENNESAW AVE NW, STE 700, MARIETTA, GA 30060-6987
(770) 424-0033
(770) 424-7744

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2516
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00917265A
GA
Enumeration date
12/15/2005
Last updated
01/06/2022
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