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Individual

DR. ALAN D BRANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2520 WINDY HILL RD SE, SUITE 203, MARIETTA, GA 30067-8664
(770) 953-6401
(770) 953-6015
Mailing address
2520 WINDY HILL RD SE, SUITE 203, MARIETTA, GA 30067-8664
(770) 953-6401
(770) 953-6015

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001906
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000662703B
GA
05
000662703F
GA
Enumeration date
11/09/2006
Last updated
11/02/2010
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