Organization
BRUCE E. ATKINSON, PH.D., PC
Active
Organization
BRUCE E. ATKINSON, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE E ATKINSON PH.D. (LICENSED PSYCHOLOGIST)
(770) 439-9353
Entity
Organization
Contact information
Practice address
1830 WATER PL SE, SUITE 220, ATLANTA, GA 30339-7407
(770) 439-9353
(770) 439-7090
Mailing address
PO BOX 1826, POWDER SPRINGS, GA 30127-7524
(770) 439-9353
(770) 439-7090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 001400
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000545069B
—
GA
Enumeration date
09/01/2009
Last updated
09/01/2009
Update your record
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