Individual
DR. KATHERINE VIVIAN BRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1244 CLAIRMONT RD STE 101, DECATUR, GA 30030-1250
(404) 325-0526
(404) 325-0526
Mailing address
1716 BEACON HILL BLVD NE, ATLANTA, GA 30329-2520
(404) 325-0526
(404) 325-0526
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001333
GA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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