Individual
DIANE C. SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10475 MEDLOCK BRIDGE RD, BUILDING 300; SUITE 315, JOHNS CREEK, GA 30097-4433
(678) 935-9567
(678) 935-9568
Mailing address
10475 MEDLOCK BRIDGE RD, BUILDING 300; SUITE 315, JOHNS CREEK, GA 30097-4433
(678) 935-9567
(678) 935-9568
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003160
GA
103TC1900X
Counseling Psychologist
652
AL
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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