Individual
JUDI LEE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1827 POWERS FERRY ROAD, BUILDING 22 SUITE 200, ATLANTA, GA 30339-5621
(770) 953-4744
(770) 953-4640
Mailing address
1827 POWERS FERRY ROAD, BUILDING 22 SUITE 200, ATLANTA, GA 30339-5621
(770) 953-4744
(770) 953-4640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002689
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10051809
AMERIGROUP
GA
Enumeration date
10/06/2006
Last updated
12/03/2007
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