Organization
PSYCHOLOGICAL SERVICES OF ATLANTA, LLC
Active
Organization
PSYCHOLOGICAL SERVICES OF ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYNA M DIAZ PH.D. (LICENSED PSYCHOLOGIST)
(770) 452-5353
Entity
Organization
Contact information
Practice address
1770 OLD SPRING HOUSE LN, SUITE #114, ATLANTA, GA 30338-6213
(770) 452-5353
(770) 452-5363
Mailing address
1770 OLD SPRING HOUSE LN, SUITE #114, ATLANTA, GA 30338-6213
(770) 452-5353
(770) 452-5363
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002970
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY002970
GA
103TF0000X
Family Psychologist
PSY002970
GA
103TP2701X
Group Psychotherapy Psychologist
PSY002970
GA
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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