Organization
A. SHAYNE ABELKOP PH.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A SHAYNE ABELKOP PH.D. PC (LICENSED PSYCHOLOGIST DIRECTOR)
(706) 431-3711
Entity
Organization
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 2200A, WATKINSVILLE, GA 30677-7270
(706) 431-3711
(888) 425-0590
Mailing address
1551 JENNINGS MILL RD UNIT 2200A, WATKINSVILLE, GA 30677-7270
(706) 431-3711
(888) 425-0590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY#002799
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133309172A
—
GA
Enumeration date
01/31/2007
Last updated
01/14/2021
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