Individual
VANESSA WATOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
(404) 603-4610
Mailing address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY004496
GA
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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