Individual
DR. SHANTERIA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
250 N ARCADIA AVE, DECATUR, GA 30030-2115
(404) 936-1562
Mailing address
250 N ARCADIA AVE, DECATUR, GA 30030-2115
(404) 936-1562
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025968
NY
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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