Organization
PEACHTREE PEDIATRIC PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVITAL K COHEN PSY.D. (LICENSED PSYCHOLOGIST)
(404) 796-7777
Entity
Organization
Contact information
Practice address
750 HAMMOND DRIVE, BLDG 7, STE 200, ATLANTA, GA 30328
(404) 796-7777
Mailing address
750 HAMMOND DRIVE, BLDG 7, STE 200, ATLANTA, GA 30328
(404) 796-7777
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
3672
GA
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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