Organization
DANIEL EISENMAN LLC
Active
Organization
DANIEL EISENMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL D EISENMAN PH.D. (OWNER)
(678) 263-8512
Entity
Organization
Contact information
Practice address
11030 JONES BRIDGE RD, SUITE 203, JOHNS CREEK, GA 30022-4560
(678) 263-8512
(678) 298-9997
Mailing address
11030 JONES BRIDGE RD, SUITE 203, JOHNS CREEK, GA 30022-4560
(678) 263-8512
(678) 298-9997
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY003084
GA
Other
Enumeration date
07/26/2011
Last updated
11/10/2015
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