Individual
TERESA BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9342
Mailing address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9342
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003805
GA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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