Individual
DR. RACHEL KELLI LACY
Active
Individual
DR. RACHEL KELLI LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY002801
GA
103TA0700X
Adult Development & Aging Psychologist
PSY002801
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY002801
GA
103TC0700X
Clinical Psychologist
PSY002801
GA
103TF0200X
Forensic Psychologist
PSY002801
GA
103TH0004X
Health Psychologist
PSY002801
GA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY002801
GA
103TR0400X
Rehabilitation Psychologist
PSY002801
GA
Other
Enumeration date
05/19/2007
Last updated
10/29/2018
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