Individual
ALYSA GREDEL WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1276 MCCONNELL DR, SUITE C, DECATUR, GA 30033-3508
(404) 929-9009
(404) 929-9005
Mailing address
1276 MCCONNELL DR, SUITE C, DECATUR, GA 30033-3508
(404) 929-9009
(404) 929-9005
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS-P000213
GA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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