Individual
HEATHER ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 NORTHSIDE PKWY NW STE 605, ATLANTA, GA 30327-2886
(404) 202-1392
Mailing address
3715 NORTHSIDE PKWY NW STE 605, ATLANTA, GA 30327-2886
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
06/11/2019
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