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Individual

DR. ZACHARY TABER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1074 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4216
(678) 369-3235
Mailing address
554 ELBRIDGE DR NW, ATLANTA, GA 30318-8148
(631) 805-6693

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY004644
GA
103TE1100X
Exercise & Sports Psychologist
PSY004644
GA

Other

Enumeration date
05/29/2023
Last updated
05/29/2023
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