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Individual

DR. RIA MELINDA TRAVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4046 WETHERBURN WAY STE 1, PEACHTREE CORNERS, GA 30092-4614
(770) 696-4384
Mailing address
4046 WETHERBURN WAY STE 1, PEACHTREE CORNERS, GA 30092-4614
(770) 696-4384

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004321
GA
103TC0700X
Clinical Psychologist
PSY004321
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY004321
GA

Other

Enumeration date
09/02/2019
Last updated
09/02/2019
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