Individual
SANDRA MOORE GOULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MPH
Contact information
Practice address
1459 OXFORD RD NE, SUITE 301, ATLANTA, GA 30307-1046
(404) 827-8370
Mailing address
1810 E CLIFTON RD NE, ATLANTA, GA 30307-1249
(404) 431-5129
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004051
GA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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