Organization
INDEPENDENT NEUROPSYCHOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLA SHAPIRO PH.D. (NEUROPSYCHOLOGIST)
(404) 937-3107
Entity
Organization
Contact information
Practice address
5887 GLENRIDGE DR, SUITE 140, ATLANTA, GA 30328-5574
(404) 937-3107
Mailing address
2361 STREET DEVILLE NE, ATLANTA, GA 30345-3401
(404) 937-3107
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY001981
GA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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