Individual
DR. MARISSA J. CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1970 CLIFF VALLEY WAY NE, SUITE 207, ATLANTA, GA 30329-2428
(770) 375-1244
Mailing address
1099 N COUNTRY RD STE L, STONY BROOK, NY 11790-1999
(631) 626-4464
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
017582
NY
103TC0700X
Clinical Psychologist
Primary
PSY003095
GA
Other
Enumeration date
07/23/2007
Last updated
12/22/2008
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