Individual
KAYCI L VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 712-4849
Mailing address
1848 WINTHROP DR SE, ATLANTA, GA 30316-1714
(785) 764-1780
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY004571
GA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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