Individual
MARY C HEBBLEWHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2200 CENTURY PKWY NE, SUITE 200, ATLANTA, GA 30345-3154
(404) 325-0304
(404) 325-3663
Mailing address
2200 CENTURY PKWY NE, SUITE 200, ATLANTA, GA 30345-3154
(404) 325-0304
(404) 325-3663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001088
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00463977A
—
GA
Enumeration date
08/04/2006
Last updated
07/08/2007
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