Organization
FOOTPRINTS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN PATRICIA BARNES PSY.D. (MANAGER/LICENSED CLINICAL PSYCHOLOG)
(706) 548-8697
Entity
Organization
Contact information
Practice address
1090 FOUNDERS BLVD., STE B, ATHENS, GA 30606
(706) 548-8697
(706) 548-8698
Mailing address
1090 FOUNDERS BLVD., STE B, ATHENS, GA 30606
(706) 548-8697
(706) 548-8698
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003585
GA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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