Organization
TOUCHSTONE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L BLAKE PHD (OWNER)
(770) 996-7622
Entity
Organization
Contact information
Practice address
1897 GODBY RD, ATLANTA, GA 30349-5235
(770) 996-7622
(770) 996-5469
Mailing address
1897 GODBY RD, ATLANTA, GA 30349-5235
(770) 996-7622
(770) 996-5469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001267
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000431395A
—
GA
Enumeration date
08/08/2006
Last updated
07/01/2008
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