Individual
DR. DIANA HOLBERG GORDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 E PONCE DE LEON AVE, SUITE 350, DECATUR, GA 30030-2543
(404) 985-2732
Mailing address
PO BOX 3405, DECATUR, GA 30031-3405
(404) 985-2732
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2739
GA
Other
Enumeration date
01/15/2010
Last updated
11/20/2014
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