Individual
GEYSA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2450 ATLANTA HWY, SUITE 303, CUMMING, GA 30040-8099
(678) 845-8596
(678) 802-6985
Mailing address
2450 ATLANTA HWY STE 1903, CUMMING, GA 30040-1237
(678) 845-8596
(678) 802-6985
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8262
MA
103TC0700X
Clinical Psychologist
Primary
PSY003665
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142155A
—
GA
Enumeration date
05/01/2007
Last updated
10/25/2018
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