Individual
DR. VIVIAN SUE AUERBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1439 MCLENDON DR STE D, DECATUR, GA 30033-1841
(404) 982-0222
Mailing address
PO BOX 1726, DECATUR, GA 30031-1726
(404) 982-0222
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
000953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309658B
—
GA
Enumeration date
12/22/2006
Last updated
07/08/2007
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