Individual
DR. NANCY ELLEN REIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D,
Contact information
Practice address
2627 SANDY PLAINS RD, SUITE 101, MARIETTA, GA 30066-4269
(678) 640-6647
(770) 977-6761
Mailing address
2627 SANDY PLAINS RD STE 101, MARIETTA, GA 30066-4288
(678) 640-6647
(770) 977-6761
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002155
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00767346A
—
GA
Enumeration date
10/25/2006
Last updated
11/06/2023
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