Individual
DR. BRUCE E ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1830 WATER PL SE, ATLANTA, GA 30339-7407
(770) 439-9353
(770) 439-7090
Mailing address
PO BOX 1826, POWDER SPRINGS, GA 30127-7524
(770) 439-9353
(770) 439-7090
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
PSY001400
GA
103T00000X
Psychologist
PSY001400
GA
103TC0700X
Clinical Psychologist
Primary
PSY001400
GA
106H00000X
Marriage & Family Therapist
PSY001400
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00545069B
—
GA
01
—
40055
NATIONAL REGISTER
—
Enumeration date
03/08/2006
Last updated
08/17/2011
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