Individual
DR. ANNA M EDWARDS-GAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
182 BEN BURTON CIR, SUITE 100, BOGART, GA 30622-6847
(706) 995-3160
Mailing address
182 BEN BURTON CIR, SUITE 100, BOGART, GA 30622-6847
(706) 995-3160
(706) 243-4611
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY002990
GA
103TC0700X
Clinical Psychologist
Primary
PSY002990
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY002990
GA
103TF0000X
Family Psychologist
PSY002990
GA
Other
Enumeration date
04/17/2007
Last updated
12/07/2009
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