Organization
PROVIDENCE PSYCHOLOGICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN K FRANTZ (OFFICE MANAGER)
(229) 928-9887
Entity
Organization
Contact information
Practice address
615 BARLOW ST, AMERICUS, GA 31709-4206
(229) 928-9887
(229) 928-9461
Mailing address
615 BARLOW ST, AMERICUS, GA 31709-4206
(229) 928-9887
(229) 928-9461
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY00183
GA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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