Organization
COLUMBUS PSYCHOLOGICAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMELYN CONNELL (OFFICE MANAGER)
(706) 653-6841
Entity
Organization
Contact information
Practice address
2325 BROOKSTONE CENTRE PARKWAY, COLUMBUS, GA 31904
(706) 653-6841
(706) 653-7843
Mailing address
2325 BROOKSTONE CENTRE PARKWAY, COLUMBUS, GA 31904
(706) 653-6841
(706) 653-7843
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055003759A
—
GA
Enumeration date
06/28/2006
Last updated
08/22/2020
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