Organization
NORTHSIDE PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY REDMAN (BUSINESS DIRECTOR)
(678) 367-7515
Entity
Organization
Contact information
Practice address
1395 S MARIETTA PKWY SE, BLDG. 400, SUITE 112, MARIETTA, GA 30067-4440
(770) 667-3877
(770) 667-3879
Mailing address
PO BOX 250, ALPHARETTA, GA 30009-0250
(770) 667-3877
(770) 667-3879
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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