Individual
DANIEL MARK NIEDERJOHN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8910 MAIN ST, WOODSTOCK, GA 30188-4916
(678) 778-2260
Mailing address
784 MITSY PT, MARIETTA, GA 30068-2332
(678) 778-2260
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002826
GA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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