Individual
DR. ADRIA GAYLE WALDBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3006 CLAIRMONT RD NE, SUITE 115, ATLANTA, GA 30329-1602
(404) 601-1386
Mailing address
2063 DELANO DR NE, ATLANTA, GA 30317-1234
(404) 421-0132
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003231
GA
103TS0200X
School Psychologist
003231
GA
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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