Individual
DR. MARC ISRALSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
840 CHURCH ST NE, BUILDING F, MARIETTA, GA 30060-8936
(770) 428-8417
(770) 565-3090
Mailing address
840 CHURCH ST NE, BUILDING F, MARIETTA, GA 30060-8936
(770) 428-8417
(770) 565-3090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1090
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00341404A
—
GA
Enumeration date
12/20/2007
Last updated
12/20/2007
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