Organization
PSYCHOLOGICAL CONSULTANTS OF MARIETTA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MANFRED ROLAND PH.D. (PRESIDENT)
(770) 420-9448
Entity
Organization
Contact information
Practice address
600 KENNESAW AVE NW, SUITE 300, MARIETTA, GA 30060-6988
(770) 420-9448
Mailing address
600 KENNESAW AVE NW, SUITE 300, MARIETTA, GA 30060-6988
(770) 420-9448
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1872
GA
106H00000X
Marriage & Family Therapist
Primary
897
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00661691A
—
GA
Enumeration date
10/09/2006
Last updated
09/11/2025
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