Individual
JAY TRAMBADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
55 WHITCHER ST NE STE 420, MARIETTA, GA 30060-1171
(770) 514-6760
(770) 794-8034
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003807
GEORGIA PSYCHOLOGY BOARD
GA
Enumeration date
07/15/2014
Last updated
10/31/2019
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