Individual
DR. MARY GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2801 BUFORD HWY NE STE 260, ATLANTA, GA 30329-2137
(404) 320-6510
(404) 321-0311
Mailing address
2801 BUFORD HWY NE STE 260, ATLANTA, GA 30329-2137
(404) 320-6510
(404) 321-0311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1204
GA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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