Individual
DR. KELLI MCCORMICK BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4375 WIEUCA RD NE, ATLANTA, GA 30342-3880
(404) 295-5905
Mailing address
4375 WIEUCA RD NE, ATLANTA, GA 30342-3880
(404) 295-5905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001992
GA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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