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Individual

DR. PAUL J. CARDOZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
215 HAWTHORNE PARK, SUITE A, ATHENS, GA 30606-2164
(706) 546-9880
(706) 353-3772
Mailing address
215 HAWTHORNE PARK, SUITE A, ATHENS, GA 30606-2164
(706) 546-9880
(706) 353-3772

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
821
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000348323A
GA
Enumeration date
10/12/2005
Last updated
11/08/2013
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