Individual
DR. POOJA NIRANJAN DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
355 TOWER RD NE STE 203, MARIETTA, GA 30060-9413
(470) 267-1580
Mailing address
355 TOWER RD NE, MARIETTA, GA 30060-9408
(470) 267-1580
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
10758
MA
103T00000X
Psychologist
Primary
PSY004564
GA
390200000X
Student in an Organized Health Care Education/Training Program
071009607
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2017
Last updated
01/03/2022
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