Organization
SBS PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY BOONE-SANFORD PH.D. (CEO)
(678) 205-0838
Entity
Organization
Contact information
Practice address
485 S PERRY ST, SUITE D, LAWRENCEVILLE, GA 30045-4923
(678) 205-0838
Mailing address
PO BOX 2133, LAWRENCEVILLE, GA 30046-2133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002451
GA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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