Organization
JASON A. KING, PH.D., LLC
Active
Organization
JASON A. KING, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ANTHONY KING PHD (PRESIDENT)
(770) 933-4130
Entity
Organization
Contact information
Practice address
2400 LAKE PARK DR SE STE 110, SMYRNA, GA 30080-8979
(770) 933-4130
(770) 933-4135
Mailing address
2400 LAKE PARK DR SE STE 110, SMYRNA, GA 30080-8979
(770) 933-4130
(770) 933-4135
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY002888
GA
103TC0700X
Clinical Psychologist
Primary
PSY002888
GA
Other
Enumeration date
09/13/2006
Last updated
05/29/2026
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