Organization
SAGE PSYCHOLOGICAL CONSULTING
Active
Other names
SAGE PSYCHOLOGICAL CONSULTING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRIPHINIA MARGARET WALLACE PHD (PSYCHOLOGIST)
(404) 317-2283
Entity
Organization
Contact information
Practice address
4062 PEACHTREE RD NE STE 190A, BROOKHAVEN, GA 30319-3021
(404) 317-2283
Mailing address
4062 PEACHTREE RD NE # 190A, BROOKHAVEN, GA 30319-3021
(404) 317-2283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003222721A
—
GA
Enumeration date
08/02/2022
Last updated
01/28/2026
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