Individual
DR. ELAINE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1300 CONSTITUTION RD SE, ATLANTA, GA 30316-4604
(404) 635-4400
Mailing address
4261 MARY WALK, NORCROSS, GA 30092-1531
(404) 931-4858
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1621
GA
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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