Individual
KALLIO HUNNICUTT-FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 778-7777
Mailing address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 778-7777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PSY004124
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021253
NEW YORK STATE EDUCATION DEPARTMENT, LICENSE IN CLINICAL PSYCHOLOGY
NY
01
—
94893
NEW YORK STATE EDUCATION DEPARTMENT LIMITED PERMIT FOR CLINICAL PSYCHOLOGY
NY
01
—
PSY004124
STATE OF GEORGIA, STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
GA
Enumeration date
01/30/2015
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us