Individual
PEGAH MOGHADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
4536 BARCLAY DR, SUITE A, ATLANTA, GA 30338-7145
(770) 458-8711
(770) 458-8640
Mailing address
4536 BARCLAY DR, SUITE A, ATLANTA, GA 30338-7145
(770) 458-8711
(770) 458-8640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/03/2011
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