Individual
JONATHAN TODD GEORGE
Active
Individual
JONATHAN TODD GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY003656
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY003656
GA
103TC0700X
Clinical Psychologist
Primary
PSY003656
GA
103TC1900X
Counseling Psychologist
PSY003656
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY003656
GA
103TF0000X
Family Psychologist
PSY003656
GA
103TF0200X
Forensic Psychologist
PSY003656
GA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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