Individual
AMY RANSOM KINCHELOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4549 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30338-6210
(770) 677-9416
(770) 677-9400
Mailing address
4549 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30338-6210
(770) 677-9416
(770) 677-9400
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3628
STATE BOARD OF EXAMINERS (CLINICAL PSYCHOLOGY)
GA
Enumeration date
05/01/2013
Last updated
05/01/2013
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