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Organization

GEORGIA PEDIATRIC PSYCHOLOGY, INC.

Active
Other names
GPP
Organization subpart
No

Provider details

NPI number
Authorized official
AVITAL K COHEN PSY.D. (CO-OWNER/CLINICAL PSYCHOLOGIST)
(678) 999-3477
Entity
Organization

Contact information

Practice address
750 HAMMOND DR, BLDG 1, STE 100, ATLANTA, GA 30328-5532
(678) 999-3477
(678) 999-3567
Mailing address
750 HAMMOND DR, BLDG 1, STE 100, ATLANTA, GA 30328-5532
(678) 999-3477
(678) 999-3567

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2999
GA
103TC0700X
Clinical Psychologist
3672
GA

Other

Enumeration date
11/02/2013
Last updated
11/02/2013
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