Organization
MEREDITH BURNS, PSY.D., P.C.
Active
Organization
MEREDITH BURNS, PSY.D., P.C.
Active
Other names
Forward Motion Psychological
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEREDITH BURNS PSYD (PRESIDENT)
(770) 765-2990
Entity
Organization
Contact information
Practice address
225 CREEKSTONE RDG STE 22, WOODSTOCK, GA 30188-3744
(770) 765-2990
(770) 234-6853
Mailing address
225 CREEKSTONE RDG STE 22, WOODSTOCK, GA 30188-3744
(770) 765-2990
(770) 234-6853
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002186
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184753840
NPI (GROUP)
GA
01
—
1952568396
NPI (INDIVIDUAL)
GA
05
—
461532546D
—
GA
Enumeration date
03/05/2007
Last updated
09/16/2021
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