Organization
BLUE EPIPHANIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON LANDRY PSY.D. (CLINICAL PSYCHOLOGIST, OWNER)
(470) 207-2410
Entity
Organization
Contact information
Practice address
1686 DUNTON GREEN WAY, LAWRENCEVILLE, GA 30043-7531
(470) 207-2410
Mailing address
1686 DUNTON GREEN WAY, LAWRENCEVILLE, GA 30043-7531
(470) 207-2410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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