Individual
SUSAN Z. VOLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
122 CHERRY ST NE, MARIETTA, GA 30060-7206
(770) 427-2911
(770) 509-9529
Mailing address
122 CHERRY ST NE, MARIETTA, GA 30060-7206
(770) 427-2911
(770) 509-9529
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1048
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00521243A
—
GA
Enumeration date
07/04/2006
Last updated
07/08/2007
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