Individual
DR. JEFFERY GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
523 CHURCH ST, DECATUR, GA 30030-2515
(404) 589-9040
Mailing address
523 CHURCH ST, DECATUR, GA 30030-2515
(404) 589-9040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004278
GA
Other
Enumeration date
05/07/2018
Last updated
04/30/2019
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