Individual
DR. LAURA M. RISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096-4506
(770) 931-6063
(706) 850-0899
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(706) 850-0899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 002955
GA
103T00000X
Psychologist
Primary
PSY002955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140137175B
—
GA
Enumeration date
11/20/2006
Last updated
01/07/2022
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