Organization
ERIKA SHORE, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA LAUREN SHORE PH.D. (PRESIDENT)
(404) 660-4010
Entity
Organization
Contact information
Practice address
1766 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3394
(404) 660-4010
Mailing address
1766 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3394
(404) 660-4010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002788
GA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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