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Individual

DR. CHRISANNE MAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1397 MANCHESTER DR NE, CONYERS, GA 30012-3882
(404) 668-0183
(404) 624-9624
Mailing address
1397 MANCHESTER DR NE, CONYERS, GA 30012-3882
(404) 668-0183
(404) 624-9624

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
001901
GA
103TC0700X
Clinical Psychologist
Primary
001901
GA
103TC2200X
Clinical Child & Adolescent Psychologist
001901
GA
103TS0200X
School Psychologist
001901
GA

Other

Enumeration date
03/08/2011
Last updated
03/08/2011
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