Organization
NORTHEAST GEORGIA PSYCHOLOGICAL SERVICES LLC
Active
Organization
NORTHEAST GEORGIA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER FUTRAL PSY.D. (LICENSED PSYCHOLOGIST)
(678) 613-6643
Entity
Organization
Contact information
Practice address
4073 HIGHWAY 53, HOSCHTON, GA 30548-2305
(770) 882-5884
Mailing address
4073 HIGHWAY 53, HOSCHTON, GA 30548-2305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003418
GA
Other
Enumeration date
07/20/2015
Last updated
10/16/2015
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