Organization
PALMTREE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALENTINA BENJAMIN (OFFICE MANAGER)
(229) 219-1811
Entity
Organization
Contact information
Practice address
111 WOODROW WILSON DR, SUITE B, VALDOSTA, GA 31602-2587
(229) 219-1811
(229) 219-8472
Mailing address
111 WOODROW WILSON DR, SUITE B, VALDOSTA, GA 31602-2587
(229) 219-1811
(229) 219-8472
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001796
GA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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