Individual
DR. EPHI J BETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2200 CENTURY PKWY NE STE 200, ATLANTA, GA 30345-3103
(404) 422-5203
Mailing address
2200 CENTURY PKWY NE STE 200, ATLANTA, GA 30345-3103
(404) 422-5203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002608
GA
Other
Enumeration date
02/11/2019
Last updated
06/23/2022
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