Organization
SUMMIT PEDIATRIC PSYCHOLOGY, LLC
Active
Organization
SUMMIT PEDIATRIC PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEENA BENNETT (OWNER/PSYCHOLOGIST)
(470) 807-9147
Entity
Organization
Contact information
Practice address
240 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7214
(470) 807-9147
Mailing address
140 LOTUS CIR, MCDONOUGH, GA 30252-4094
(470) 807-9147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
06/07/2023
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