Individual
DR. SUSAN MASSEY-CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
140 DECATUR ST, THE URBAN LIFE BUILDING 10TH FLOOR SUITE 1053, ATLANTA, GA 30302-3995
(404) 413-6245
(404) 413-6130
Mailing address
PO BOX 3995, ATLANTA, GA 30302-3995
(404) 413-6245
(404) 413-6130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3832
GA
103T00000X
Psychologist
3832
GA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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