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Individual

DR. DAVID BARUCH RUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
877 W WESLEY RD. NW, ATLANTA, GA 30327
(770) 996-4264
(770) 996-9525
Mailing address
1984 HOWELL MILL RD NW UNIT 20031, ATLANTA, GA 30325-2025
(770) 996-4264
(770) 996-9525

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001268
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000355066A
GA
Enumeration date
03/24/2006
Last updated
04/20/2022
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