Organization
ALESYA KOREY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESYA KOREY (CLINICAL PSYCHOLOGIST)
(404) 862-8106
Entity
Organization
Contact information
Practice address
540 POWDER SPRINGS ST STE E31, MARIETTA, GA 30064-3563
(404) 862-8106
Mailing address
540 POWDER SPRINGS ST STE E31, MARIETTA, GA 30064-3563
(404) 862-8106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY3835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003191658A
—
GA
Enumeration date
12/29/2017
Last updated
12/29/2017
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