Organization
RM REASONERR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MERLE REASONER PH.D. (PSYCHOLOGIST)
(770) 271-8989
Entity
Organization
Contact information
Practice address
2910 HORIZON PARK DR STE B, SUWANEE, GA 30024-7256
(770) 271-8989
Mailing address
2910 HORIZON PARK DR STE B, SUWANEE, GA 30024-7256
(770) 271-8989
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1438
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000479938A
—
GA
Enumeration date
02/10/2009
Last updated
02/10/2009
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