Individual
MELVINA ALEXIS NORWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
110 EAGLES WALK, STE. 100, STOCKBRIDGE, GA 30281-7204
(770) 507-6044
(770) 507-5284
Mailing address
4395 MEADOW VISTA DR, LITHONIA, GA 30038-7712
(770) 507-6044
(770) 507-5284
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY003038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155420049B
—
GA
Enumeration date
04/11/2007
Last updated
07/08/2007
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