Individual
DR. BENJAMIN J. EDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2308 PERIMETER PARK DR STE 100, ATLANTA, GA 30341-1316
(770) 457-5577
Mailing address
718 E PONCE DE LEON AVE APT B, DECATUR, GA 30030-2011
(412) 527-1666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004502
GA
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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