Individual
LIZA AMANDA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 RESEARCH CT STE 800, SUWANEE, GA 30024-6606
(678) 749-7600
Mailing address
5050 RESEARCH CT STE 800, SUWANEE, GA 30024-6606
(678) 749-7600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004379
GA
Other
Enumeration date
04/15/2016
Last updated
03/05/2020
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