Organization
CORNERSTONE PSYCHOLOGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY L BLAKE PHD (CEO)
(770) 996-7622
Entity
Organization
Contact information
Practice address
1897 GODBY RD, COLLEGE PARK, GA 30349-5235
(770) 996-7622
(770) 996-5469
Mailing address
1897 GODBY RD, COLLEGE PARK, GA 30349-5235
(770) 996-7622
(770) 996-5469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001267
GA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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