Organization
PSYCHOTHERAPY AND ASSESSMENT SERVICES
Active
Organization
PSYCHOTHERAPY AND ASSESSMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY TODD DAVIS PH. D (PRESIDENT)
(770) 534-9100
Entity
Organization
Contact information
Practice address
629 DAWSONVILLE HWY, SUITE 2201, GAINESVILLE, GA 30501-2610
(770) 534-9100
(770) 534-9104
Mailing address
629 DAWSONVILLE HWY, SUITE 2201, GAINESVILLE, GA 30501-2610
(770) 534-9100
(770) 534-9104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1575
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00484514C
—
GA
Enumeration date
01/17/2007
Last updated
08/22/2020
Update your record
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