Individual
DR. NICK A DEFILIPPIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
990 HAMMOND DR NE, SUITE 730, ATLANTA, GA 30328-5529
(770) 730-9930
(770) 730-0998
Mailing address
990 HAMMOND DR STE 575, ATLANTA, GA 30328-9113
(770) 730-9930
(770) 730-0998
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
536
GA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
536
GA
103TC0700X
Clinical Psychologist
Primary
536
GA
103TF0200X
Forensic Psychologist
536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00136309C
—
GA
Enumeration date
04/09/2006
Last updated
12/12/2020
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