Organization
NICK A DEFILIPPIS, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK ANTHONY DEFILIPPIS (PRESIDENT)
(770) 730-9930
Entity
Organization
Contact information
Practice address
990 HAMMOND DR NE, SUITE 730, ATLANTA, GA 30328-5529
(770) 730-9930
(770) 730-0998
Mailing address
990 HAMMOND DR NE, 730, ATLANTA, GA 30328-5529
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
536
GA
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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