Individual
DR. COURTLAND STEVENS HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12 EXECUTIVE PARK DR NE FL 3, ATLANTA, GA 30329-2206
(888) 514-5345
Mailing address
933 LADSON CT, DECATUR, GA 30033-5387
(678) 983-0961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
NOT.YET.COMPLETED
GA
103TC0700X
Clinical Psychologist
Primary
NOTCOMPLETEDYET
GA
Other
Enumeration date
10/31/2022
Last updated
11/22/2022
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