Individual
DR. DAVID MICHAEL MCQUEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
327 DAHLONEGA ST, BLDG 1600, CUMMING, GA 30040-2480
(770) 317-3365
(770) 993-3139
Mailing address
1540 BAINBRIDGE LN, ROSWELL, GA 30076-1619
(770) 993-1876
(770) 993-3139
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY000682
GA
103TC0700X
Clinical Psychologist
PSY000682
GA
103TC1900X
Counseling Psychologist
PSY000682
GA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY000682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000237784F
—
GA
Enumeration date
01/15/2007
Last updated
02/24/2012
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