Individual
DR. KRISTINE BORDEN WHIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5455 MERIDIAN MARK RD, SUITE 180, ATLANTA, GA 30342
(404) 785-2856
(404) 785-2851
Mailing address
1001 JOHNSON FERRY RD, DEPARTMENT OF NEUROPSYCHOLOGY, ATLANTA, GA 30342
(404) 785-2856
(404) 785-2851
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY003130
GA
103TC0700X
Clinical Psychologist
PSY003130
GA
Other
Enumeration date
12/31/2007
Last updated
09/10/2012
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