Individual
DR. JAMI MICHELLE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1701 HARDEE AVE SW, OFFICE 2A 326, ATLANTA, GA 30310-5110
(404) 321-6111
Mailing address
3203 CREST RIDGE DR, ATLANTA, GA 30344-8107
(614) 753-5589
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004245
GA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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