Individual
DR. MARIE ELIZABETH GEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3711 EXECUTIVE CENTER DR, SUITE 101, MARTINEZ, GA 30907-0951
(706) 210-8855
Mailing address
4738 WALTONS CIR, EVANS, GA 30809-5262
(206) 605-2572
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003400
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY003400
GA
103TF0200X
Forensic Psychologist
PSY003400
GA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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