Organization
AYNSLEY CORBETT, PSY.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYNSLEY CORBETT PSY.D. (PRESIDENT)
(404) 728-0728
Entity
Organization
Contact information
Practice address
2004 CLIFF VALLEY WAY, NE, ATLANTA, GA 30329
(404) 728-0728
(404) 634-7802
Mailing address
2004 CLIFF VALLEY WAY, NE, ATLANTA, GA 30329
(404) 728-0728
(404) 634-7802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY3033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01243928
AMERIGROUP
GA
01
—
600531383
MAGELLAN
GA
05
—
717622953A
—
GA
Enumeration date
05/25/2012
Last updated
10/19/2020
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