Organization
HEATHER C. FUTRAL, PSY-D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER FUTRAL PSYD (OWNER/PSYCHOLOGIST)
(707) 527-8645
Entity
Organization
Contact information
Practice address
485 HUNTINGTON RD, ATHENS, GA 30606-1861
(706) 885-0111
(706) 885-0607
Mailing address
485 HUNTINGTON RD, ATHENS, GA 30606-1861
(706) 885-0111
(706) 885-0607
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003418
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108625A
—
GA
Enumeration date
12/06/2011
Last updated
12/06/2011
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