Individual
KIM EMIKO ONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5461 MERIDIAN MARK RD STE 180, ATLANTA, GA 30342-3112
(404) 785-3974
Mailing address
4532 CLUB CIR NE, ATLANTA, GA 30319-1054
(404) 785-3874
(494) 785-2851
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY004030
GA
282NC2000X
Children's Hospital
PSY004030
GA
Other
Enumeration date
08/08/2016
Last updated
04/06/2023
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