Organization
JUDY & BRUCE PEMBERTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY PEMBERTON PH.D. (OWNER)
(404) 325-8512
Entity
Organization
Contact information
Practice address
1145 SHERIDAN RD NE, ATLANTA, GA 30324-3714
(404) 325-8512
(404) 325-8733
Mailing address
1130 PIEDMONT AVE NE, SUITE 1502, ATLANTA, GA 30309-3780
(404) 325-8512
(404) 325-8733
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001100
GA
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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