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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