Organization
PCAP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CARDOZO ED.D. (PRESIDENT)
(706) 546-9880
Entity
Organization
Contact information
Practice address
215 HAWTHORNE PARK STE A, ATHENS, GA 30606-2164
(706) 546-9880
Mailing address
215 HAWTHORNE PARK STE A, ATHENS, GA 30606-2164
(706) 546-9880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
821
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000348323A
—
GA
Enumeration date
08/19/2009
Last updated
02/15/2010
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