Individual
DR. ELAINE A ZITOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5020 CROWE DR SE, SMYRNA, GA 30082-5103
(603) 502-2870
Mailing address
5020 CROWE DR SE, SMYRNA, GA 30082-5103
(603) 502-2870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003530
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30002600
—
NH
Enumeration date
07/28/2006
Last updated
02/12/2014
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