Organization
PICKETT PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE PICKETT PSYD (PROVIDER)
(770) 821-6309
Entity
Organization
Contact information
Practice address
4530 S BERKELEY LAKE RD STE B, BERKELEY LAKE, GA 30071-1657
(770) 821-6309
(770) 446-5643
Mailing address
4530 S BERKELEY LAKE RD STE B, BERKELEY LAKE, GA 30071-1657
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY0045145
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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