Individual
KATHRYN GANSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1549 CLAIRMONT RD, SUITE 108, DECATUR, GA 30033-4639
(770) 309-8357
Mailing address
530 HASCALL RD NW, ATLANTA, GA 30309-2228
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3300
GA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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