Individual
KATRINA GOINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
463 PASLEY AVE SE, ATLANTA, GA 30316-1731
(857) 919-7729
Mailing address
463 PASLEY AVE SE, ATLANTA, GA 30316-1731
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004347
GA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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