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Individual

DR. MARY DECRUISE-OATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
950 EAGLES LANDING PKWY STE 321, STOCKBRIDGE, GA 30281-7343
(478) 284-3985
Mailing address
950 EAGLES LANDING PKWY STE 321, STOCKBRIDGE, GA 30281-7343
(478) 284-3985

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
021513
NY
103TC0700X
Clinical Psychologist
0810004038
VA
103TC0700X
Clinical Psychologist
20-06
AR
103TC0700X
Clinical Psychologist
Primary
3737
GA
103TC0700X
Clinical Psychologist
4268
NC
103TC0700X
Clinical Psychologist
7636
FL
103TC0700X
Clinical Psychologist
PSY1874
HI

Other

Enumeration date
12/28/2007
Last updated
03/17/2026
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