Individual
JUDY S. PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1145 SHERIDAN RD NE, ATLANTA, GA 30324-3714
(404) 325-8512
(404) 325-8733
Mailing address
1130 PIEDMONT AVE NE, #1502, ATLANTA, GA 30309-3780
(404) 325-8512
(404) 325-8733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001100
GA
Other
Enumeration date
02/08/2007
Last updated
05/29/2012
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