Individual
DR. CONSTANCE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1897 GODBY RD, ATLANTA, GA 30349-5235
(770) 996-7622
(770) 996-5469
Mailing address
1897 GODBY RD, ATLANTA, GA 30349-5235
(770) 996-7622
(770) 996-5469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
771919781A
—
GA
Enumeration date
10/18/2006
Last updated
07/09/2007
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