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AIMEE NOEL STALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5652 VETERANS PKWY, COLUMBUS, GA 31904-9002
(706) 507-5444
(706) 507-5484
Mailing address
5652 VETERANS PKWY, COLUMBUS, GA 31904-9002
(706) 507-5444
(706) 507-5484

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY003141
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511I260052
MEDICARE GA
GA
Enumeration date
06/06/2006
Last updated
03/08/2021
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