Organization
ACCESS EVALUATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JENKINS PH.D (CLINICAL PSYCHOLOGIST)
(706) 399-5036
Entity
Organization
Contact information
Practice address
233B DAVIS RD STE F, MARTINEZ, GA 30907-2407
(706) 955-9873
(706) 595-3070
Mailing address
2304 PEROT DR, HEPHZIBAH, GA 30815-6921
(706) 399-5036
(706) 595-3070
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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