Individual
DR. JANELLE SUMMERVILLE PEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
209B SWANTON WAY STE 204, DECATUR, GA 30030-3271
(678) 561-4187
Mailing address
229 WOODVIEW DR, DECATUR, GA 30030-1038
(540) 846-0932
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004269
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY004269
GA
103TC0700X
Clinical Psychologist
PSY004269
GA
103TF0000X
Family Psychologist
PSY004269
GA
103TP2701X
Group Psychotherapy Psychologist
PSY004269
GA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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