Individual
DR. SUSAN P GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
18 LENOX POINTE NE, SUITE A, ATLANTA, GA 30324-3168
(404) 261-5559
(404) 261-5633
Mailing address
18 LENOX POINTE NE, SUITE A, ATLANTA, GA 30324-3168
(404) 261-5559
(404) 261-5633
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY000967
GA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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