Individual
ELISABETH GROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 N MCDONOUGH ST, DECATUR, GA 30030-3317
(404) 374-4453
Mailing address
111 N MCDONOUGH ST, DECATUR, GA 30030-3317
(404) 374-4453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001497
GA
Other
Enumeration date
05/02/2007
Last updated
03/17/2018
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