Individual
ANNE DOMINIQUE BARTOLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
315 W PONCE DE LEON AVE, SUITE 1051, DECATUR, GA 30030-2400
(404) 378-0441
Mailing address
315 W PONCE DE LEON AVE, SUITE 1051, DECATUR, GA 30030-2400
(404) 378-0441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003003
GA
Other
Enumeration date
12/15/2006
Last updated
03/09/2011
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