Organization
PERFORMANCE PSYCHOLOGY
Active
Other names
Counseling and Assessment
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER BARNETT COHEN PHD (PRESIDENT)
(706) 340-5870
Entity
Organization
Contact information
Practice address
1150 S MILLEDGE AVE, SUITE 4, ATHENS, GA 30605-6723
(706) 340-5870
Mailing address
1150 S MILLEDGE AVE, SUITE 4, ATHENS, GA 30605-6723
(706) 340-5870
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
GAPSY002866
GA
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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