Individual
DR. VIVIANA LUCIO MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5000
(404) 727-3421
Mailing address
1256 BRIARCLIFF RD NE, ATLANTA, GA 30306-2636
(404) 727-3443
(404) 727-3421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003422
GA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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