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Individual

DR. LINDA KLAITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D

Contact information

Practice address
130 MONTGOMERY FERRY DR NE, ATLANTA, GA 30309-2713
(404) 257-0964
Mailing address
130 MONTGOMERY FERRY DR NE, ATLANTA, GA 30309-2713
(404) 257-0964

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY000767
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
581568713
TAX ID
GA
Enumeration date
03/04/2007
Last updated
01/10/2022
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