Organization
NORTH GEORGIA PSYCHOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED FRASER PH.D (PRESIDENT)
(678) 992-0089
Entity
Organization
Contact information
Practice address
11755 POINTE PL STE B, ROSWELL, GA 30076-4656
(678) 992-0089
Mailing address
11755 POINTE PL STE B, ROSWELL, GA 30076-4656
(678) 992-0089
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1522
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1522
LICENSED PSYCHOLOGIST
GA
01
—
2282
LICENSED PROFESSIONAL COUNSELOR
GA
Enumeration date
12/21/2009
Last updated
12/21/2009
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