Individual
DR. REGINA PYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
36 EAGLE ROW, ATLANTA, GA 30322-1000
(404) 727-4139
(404) 727-1284
Mailing address
408 ADAMS ST, DECATUR, GA 30030-5208
(404) 727-4139
(404) 727-1284
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00376934A
—
GA
01
—
58-1974757
TAX PROVIDER ID
GA
Enumeration date
10/14/2006
Last updated
08/19/2009
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