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Individual

DR. REBECCA CAROLYN OTWELL-DOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
115 HABERSHAM DR, FAYETTEVILLE, GA 30214-7353
(770) 461-9944
Mailing address
115 HABERSHAM DR, FAYETTEVILLE, GA 30214-7353
(770) 461-9944

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-T001186
GA
103TC0700X
Clinical Psychologist
Primary
PSY900339
GA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
09/14/2022
Last updated
03/30/2026
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