Individual
TRICIA LESLIE RANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1526
(706) 542-8621
(706) 583-0217
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1526
(706) 542-8621
(706) 583-0217
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003070
GA
Other
Enumeration date
02/05/2008
Last updated
11/02/2009
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