Individual
KATHLEEN M OTOOLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342
(404) 250-2849
(404) 250-2939
Mailing address
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342
(404) 785-2854
(404) 785-2851
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
001931
GA
103T00000X
Psychologist
Primary
001931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00706329A
—
GA
Enumeration date
06/08/2006
Last updated
09/11/2025
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