Organization
HYPNOSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN GOLDSTEIN (CEO)
(770) 512-0400
Entity
Organization
Contact information
Practice address
4651 CHAMBLEE DUNWOODY RD, SUITE D, ATLANTA, GA 30338-6339
(770) 512-0400
Mailing address
4651 CHAMBLEE DUNWOODY RD, SUITE D, ATLANTA, GA 30338-6339
(770) 512-0400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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