Individual
DR. WENDY ANN HANEVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
555 SUN VALLEY DR, SUITE M-1, ROSWELL, GA 30076-5612
(404) 325-1614
(404) 325-1615
Mailing address
1235 PARKMONT DR, ROSWELL, GA 30076-1741
(404) 325-1614
(404) 325-1615
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1574
GA
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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