Organization
BRADLEY-DAVINO PSYCHOLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRINA MARIE DAVINO PHD (PRESIDENT)
(404) 668-9893
Entity
Organization
Contact information
Practice address
1766 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3394
(404) 668-9893
Mailing address
1766 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3394
(404) 668-9893
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2650
GA
Other
Enumeration date
10/03/2006
Last updated
01/15/2017
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