Individual
DR. ELLEN D SPANDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
698 N MARIETTA PKWY NE, MARIETTA, GA 30060-1529
(770) 919-9088
(770) 919-8708
Mailing address
1902 DENTON WALK CT, MARIETTA, GA 30062-8158
(404) 551-4322
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003147
GA
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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