Organization
ONWARD AND OUTWARD PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANELLE SUMMERVILLE PEIFER PHD (OWNER AND CHIEF PSYCHOLOGIST)
(540) 846-0932
Entity
Organization
Contact information
Practice address
209B SWANTON WAY STE 204, DECATUR, GA 30030-3271
(678) 561-4187
Mailing address
229 WOODVIEW DR, DECATUR, GA 30030-1038
(540) 846-0932
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6887032
AETNA
GA
01
—
833475697
ANTHEM
GA
Enumeration date
08/22/2019
Last updated
08/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us