Individual
DR. GARY FRANCIS GANAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1770 CENTURY BLVD NE STE B, SUITE B, ATLANTA, GA 30345-3395
(404) 329-9977
(404) 329-0583
Mailing address
1770 CENTURY BLVD NE STE B, SUITE B, ATLANTA, GA 30345-3395
(404) 329-9977
(404) 329-0583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001192
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000574604G
—
GA
Enumeration date
01/01/2007
Last updated
07/09/2007
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