Individual
MRS. AVIVAH MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
57 FORSYTH STREET NORTHWEST, #4C, ATLANTA, GA 30303
(718) 674-4452
(415) 206-4722
Mailing address
57 FORSYTH STREET NORTHWEST, #4C, ATLANTA, GA 30303
(718) 674-4452
(415) 206-4722
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
32009
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS-T001100
GA
Other
Enumeration date
09/06/2012
Last updated
08/10/2022
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