Individual
DR. MARK GILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
62 LENOX POINTE NE STE B, ATLANTA CENTER FOR COGNITIVE THERAPY, ATLANTA, GA 30324-7410
(404) 842-0556
(404) 842-0556
Mailing address
62 LENOX POINTE NE STE B, ATLANTA, GA 30324-7410
(404) 842-0555
(404) 842-0556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00305819B
—
GA
Enumeration date
08/20/2006
Last updated
12/10/2012
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