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Organization

ROBIN A. BRILL, PHD,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN A BRILL PH.D. (PSYCHOLOGIST)
(770) 886-8488
Entity
Organization

Contact information

Practice address
5807 LONG PARK RD, CUMMING, GA 30040-5718
(770) 886-8488
Mailing address
5807 LONG PARK RD, CUMMING, GA 30040-5718
(770) 886-8488

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002263
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00821906
GA
Enumeration date
04/09/2014
Last updated
04/09/2014
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