Individual
DR. LISA CHEYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1150 UPPER HEMBREE RD, ROSWELL, GA 30076-1142
(678) 624-0930
(678) 624-0730
Mailing address
100 FARM TRAK, ROSWELL, GA 30075-4215
(770) 594-6583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001881
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637722D
—
GA
Enumeration date
05/06/2007
Last updated
07/09/2007
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