Individual
ALLISON MACDONALD LOPILATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 727-3443
Mailing address
337 SAINT PAUL AVE SE, ATLANTA, GA 30312-3129
(626) 827-6170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004199
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY004199
GA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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