Organization
GEORGIA PSYCHOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEISA ANN BAILEY PHD (PRESIDENT/CLINICAL PSYCHOLOGIST)
(770) 428-6698
Entity
Organization
Contact information
Practice address
600 KENNESAW AVE NW, SUITE 300, MARIETTA, GA 30060-6988
(770) 428-6698
Mailing address
1000 WHITLOCK AVE NW, SUITE 320, MARIETTA, GA 30064-5455
(770) 428-6698
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
999
GA
Other
Enumeration date
08/16/2007
Last updated
04/20/2008
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