Individual
DR. M. JANE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1772 CENTURY BLVD NE, ATLANTA, GA 30345-3396
(404) 248-1159
(404) 248-9776
Mailing address
1772 CENTURY BLVD NE, ATLANTA, GA 30345-3396
(404) 248-1159
(404) 248-9776
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY000996
GA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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