Organization
APPLIED PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGIA C SMITH PSY.D. (PRESIDENT)
(770) 592-0150
Entity
Organization
Contact information
Practice address
1001 WEATHERSTONE PKWY, STE 430, WOODSTOCK, GA 30188-4495
(770) 592-0150
(770) 592-0971
Mailing address
1001 WEATHERSTONE PKWY, STE 430, WOODSTOCK, GA 30188-4495
(770) 592-0150
(770) 592-0971
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000583921A
—
GA
Enumeration date
11/15/2011
Last updated
11/15/2011
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