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Organization

RICHARD A. VAN HAVEREN, PH.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD ARTHUR VAN HAVEREN PH.D. (CEO)
(678) 462-3833
Entity
Organization

Contact information

Practice address
3516 OLD MILTON PKWY, ALPHARETTA, GA 30005-4458
(678) 462-3833
(678) 205-4858
Mailing address
3516 OLD MILTON PKWY, ALPHARETTA, GA 30005-4458
(678) 462-3833
(678) 205-4858

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
02/27/2008
Last updated
02/27/2008
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