Individual
DR. JEREMY GLENN GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
811 ERIKA LN, GROVETOWN, GA 30813-8303
(706) 836-3983
Mailing address
811 ERIKA LN, GROVETOWN, GA 30813-8303
(706) 836-3983
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004116
GA
103TF0200X
Forensic Psychologist
PSY004116
GA
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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