Organization
LIBBY TANNENBAUM LLC
Active
Organization
LIBBY TANNENBAUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIBBY TANNENBAUM PH.D. (CLINICAL PSYCHOLOGIST)
(404) 281-6477
Entity
Organization
Contact information
Practice address
11755 POINTE PL, SUITE A-1, ROSWELL, GA 30076-4656
(404) 281-6477
Mailing address
11755 POINTE PL, SUITE A-1, ROSWELL, GA 30076-4656
(404) 281-6477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY2710
GA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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