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Organization

PIONEER PSYCHOLOGICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL WACHTEL PSY.D. (CLINICAL PSYCHOLOGIST)
(404) 723-5633
Entity
Organization

Contact information

Practice address
5775 GLENRIDGE DR STE B310, ATLANTA, GA 30328-5380
(404) 723-5633
(404) 528-2468
Mailing address
860 JOHNSON FERRY RD STE 140-172, ATLANTA, GA 30342-1435
(404) 723-5633
(404) 528-2468

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003012
GA

Other

Enumeration date
12/19/2011
Last updated
11/03/2025
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