Organization
WILLIAM J. MCINTOSH PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J MCINTOSH PHD (PRINCIPAL)
(770) 493-9777
Entity
Organization
Contact information
Practice address
1439 MCLENDON DR STE D, DECATUR, GA 30033-1841
(770) 493-9777
Mailing address
1439 MCLENDON DR STE D, DECATUR, GA 30033-1841
(770) 493-9777
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY000316
GA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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