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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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