Individual
DR. SUSAN L. REVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2751 BUFORD HWY NE, SUITE 401, ATLANTA, GA 30324-3207
(404) 639-5556
(404) 639-5558
Mailing address
2751 BUFORD HWY NE, SUITE 401, ATLANTA, GA 30324-3207
(404) 639-5556
(404) 639-5558
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002224
GA
Other
Enumeration date
03/15/2007
Last updated
10/15/2010
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