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Individual

DR. ALISON MEGAN NATHANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
111 N MCDONOUGH ST, DECATUR, GA 30030-3317
(678) 718-5130
Mailing address
111 N MCDONOUGH ST, DECATUR, GA 30030-3317
(678) 718-5130

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003838
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073897088
N/A
GA
Enumeration date
10/10/2011
Last updated
06/23/2016
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