Individual
DR. STACI S BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5755 N POINT PKWY, SUITE 65, ALPHARETTA, GA 30022-1142
(770) 591-5501
(770) 591-5502
Mailing address
5755 N POINT PKWY, SUITE 65, ALPHARETTA, GA 30022-1142
(770) 591-5501
(770) 591-5502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2925
GA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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