Organization
GEORGIA DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLEE CLARK PH.D. (PSYCHOLOGIST)
(770) 538-4800
Entity
Organization
Contact information
Practice address
615 GREEN ST NW, SUITE 201, GAINESVILLE, GA 30501-3378
(770) 538-4800
(770) 503-9299
Mailing address
615 GREEN ST NW, SUITE 201, GAINESVILLE, GA 30501-3378
(770) 538-4800
(770) 503-9299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001290
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00566354A
—
GA
Enumeration date
01/08/2007
Last updated
09/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us