Organization
C. KIRVEN WEEKLEY, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KIRVEN WEEKLEY III PH.D. (OWNER)
(770) 441-9244
Entity
Organization
Contact information
Practice address
752 HOLCOMB BRIDGE RD, NORCROSS, GA 30071-1325
(770) 441-9244
(770) 441-9334
Mailing address
752 HOLCOMB BRIDGE RD, NORCROSS, GA 30071-1325
(770) 441-9244
(770) 441-9334
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-0001852
GA
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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