Organization
PSYCH CENTERS OF GEORGIA LLC
Active
Other names
Neuropsych Centers
Organization subpart
No
Provider details
NPI number
Authorized official
GAIRY JOHNSON (BOARD ADVISOR)
(678) 538-9314
Entity
Organization
Contact information
Practice address
368 W PIKE ST STE 105A, LAWRENCEVILLE, GA 30046-3240
(678) 203-8802
Mailing address
368 W PIKE ST STE 105A, LAWRENCEVILLE, GA 30046-3240
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
12/13/2023
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