Individual
DR. JARED A. DEFIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
TUFTS HOUSE EMORY UNIVERSITY, 2004 RIDGEWOOD DR., ATLANTA, GA 30322-1031
(404) 727-2324
Mailing address
TUFTS HOUSE EMORY UNIVERSITY, 2004 RIDGEWOOD DR., ATLANTA, GA 30322-1031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003468
GA
Other
Enumeration date
08/06/2007
Last updated
12/13/2012
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