Organization
THERAPY NETWORKS AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIA HICKSON PSYD (CLINICAL PSYCHOLOGIST)
(404) 482-1014
Entity
Organization
Contact information
Practice address
175 BRADFORD SQ, FAYETTEVILLE, GA 30215-1967
(404) 482-1014
Mailing address
2048 LAWRENCEVILLE HWY UNIT 33111, DECATUR, GA 30033-6201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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