Individual
DR. JAYMIE HELEN LUCKOW FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2308 PERIMETER PARK DR, SUITE 100, ATLANTA, GA 30341-1316
(770) 457-5577
Mailing address
4674 HOWELL FARMS DR NW, ACWORTH, GA 30101-8833
(678) 923-6795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380415072A
—
GA
Enumeration date
11/15/2006
Last updated
05/22/2008
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