Individual
RONNISE DENITRA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 416-5512
Mailing address
50 S GRANT AVE APT 538, COLUMBUS, OH 43215-3961
(706) 830-4872
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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